Organization Active NPI

William E. Schultz, OD LLC

  • Optometrist
  • Wentzville, MO
National Provider Identifier
1083774459
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02335 Issued in MO
Legal business name
WILLIAM E. SCHULTZ, OD LLC
Practice address
1971 Wentzville Pkwy
Wentzville, MO 63385-3424
Phone
(636) 639-1855
Fax
(639) 390-3959
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Dr. William E Schultz, OD
Title
President
Phone
(636) 639-1855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T02335 MO Primary

Addresses

Primary practice location

1971 Wentzville Pkwy
Wentzville, MO 63385-3424

Mailing address

1971 Wentzville Pkwy
Wentzville, MO 63385-3424
Phone (636) 639-1855

Other identifiers 1

IdentifierTypeStateIssuer
T02335OtherMOMISSOURI LICENSE #

National Provider Directory

National Provider Directory

Locations

1971 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-5334

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1083774459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853424",
            "telephone_number": "636-639-1855",
            "fax_number": "639-390-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853424",
            "telephone_number": "636-639-1855",
            "fax_number": "639-390-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. SCHULTZ, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-639-1855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE #",
            "identifier": "T02335",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.