Organization Active NPI

Dr Gregory M Schultz OD PC

Doing business as Eye Center of Virginia

  • Optometrist
  • Williamsburg, VA
National Provider Identifier
1093139230
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001377 Issued in VA
Legal business name
DR GREGORY M SCHULTZ OD PC
Doing business as
Eye Center of Virginia
Practice address
101 Tewning Rd
Williamsburg, VA 23188-2639
Phone
(757) 229-1131
Fax
(757) 229-1586
NPI assigned
Feb 7, 2014
Last updated
Feb 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Mrs. Tess Schultz
Title
Office Administrator
Phone
(757) 229-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001377 VA Primary

Addresses

Primary practice location

101 Tewning Rd
Williamsburg, VA 23188-2639

Mailing address

101 Tewning Rd
Williamsburg, VA 23188-2639
Phone (757) 229-1131

Other names 1

  • Eye Center of Virginia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619002503 VA Part B Supplier - Clinic/Group Practice 8123242823 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2104156Eye Center of Virginia101 Tewning Road, Williamsburg, VA 23188Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1093139230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TEWNING RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882639",
            "telephone_number": "757-229-1131",
            "fax_number": "757-229-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TEWNING RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882639",
            "telephone_number": "757-229-1131",
            "fax_number": "757-229-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GREGORY M SCHULTZ OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-229-1131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.