Organization Active NPI

Schott Vision Care PA

  • Optometrist
  • Maitland, FL
National Provider Identifier
1063836625
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4666 Issued in FL
Legal business name
SCHOTT VISION CARE PA
Practice address
600 S Orlando Ave
Suite 300
Maitland, FL 32751-5660
Phone
(407) 647-2020
Fax
(407) 628-1216
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ryan Wayne Schott, O.D.NPI 1780956805
Title
Director
Phone
(407) 647-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC4666 FL Primary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X OPC1011 FL

Addresses

Primary practice location

600 S Orlando Ave
Suite 300
Maitland, FL 32751-5660

Mailing address

600 S Orlando Ave
Suite 300
Maitland, FL 32751-5660
Phone (407) 647-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140807002576 FL Part B Supplier - Clinic/Group Practice 0941427330 Receives reassigned benefits from 2 practitioners
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

668 N Orlando Ave
Ste 1007
Maitland, FL 32751
Phone (407) 647-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1063836625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S ORLANDO AVE",
            "address_2": "SUITE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515660",
            "telephone_number": "407-647-2020",
            "fax_number": "407-628-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S ORLANDO AVE",
            "address_2": "SUITE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515660",
            "telephone_number": "407-647-2020",
            "fax_number": "407-628-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOTT VISION CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHOTT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-647-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4666",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC1011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.