NPIMap

Individual provider Active NPI

Terry Lee Schultz, OD

  • Optometrist
  • Circleville, OH
National Provider Identifier
1114987914
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4231T1189 Issued in OH
Practice address
210 Sharon Rd
Suite B
Circleville, OH 43113-0463
Phone
(800) 948-3937
Fax
(740) 477-8349
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4231T1189 OH Primary

Addresses

Primary practice location

210 Sharon Rd
Suite B
Circleville, OH 43113-0463

Mailing address

50 N Plaza Blvd
Chillicothe, OH 45601-1757
Phone (866) 587-8790

Other identifiers 1

IdentifierTypeStateIssuer
831050MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000763 OH Practitioner - Optometry 9931235892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Liggett, Rocklin and Liggett, Inc.Group PAC ID 6608800511, 2 clinicians

Practice addresses (Care Compare)

310 E Main St
Lancaster, OH 43130-3878
Phone (740) 687-5865

401 N Court St
Circleville, OH 43113-3202
Phone (740) 474-6039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4231OHMDChiropractor
4231T1189OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Center for Integrative Medicine LLC Current Accepting new patients
Precision Eyecare LLC Optometrist CurrentSince Apr 1, 2020 Accepting new patients
DRS. Liggett, Rocklin & Liggett, Inc. Optometrist CurrentSince Nov 10, 2019 Accepting new patients
William M. Miller, O.D. PastSince Apr 1, 2020 Accepting new patients

Locations

401 N Court St
Circleville, OH 43113
Phone (740) 474-6039

310 E Main St
Lancaster, OH 43130
Phone (740) 687-5865

Interoperability endpoints

  • Direct secure messaging: direct@eyespecialistsattngigidamroncirclevilleoh.compulinkdirect.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1114987914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PLAZA BLVD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011757",
            "telephone_number": "866-587-8790",
            "fax_number": "740-477-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SHARON RD",
            "address_2": "SUITE B",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431130463",
            "telephone_number": "800-948-3937",
            "fax_number": "740-477-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4231T1189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.