Individual provider Active NPI

Jason Michael Schaff, O.D.

  • Optometrist
  • Grand Forks, ND
National Provider Identifier
1124283148
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
660 Issued in ND
Practice address
2200 S Washington St
Grand Forks, ND 58201-6346
Phone
(701) 330-5269
Fax
(701) 772-8161
NPI assigned
Jul 21, 2008
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 660 ND Primary
Optometrist 152W00000X 3157 MN

Addresses

Primary practice location

2200 S Washington St
Grand Forks, ND 58201-6346

Mailing address

2200 S Washington St
Grand Forks, ND 58201-6346
Phone (701) 330-5269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081016000100 ND Practitioner - Optometry 1557429735 Reassigns benefits to 1 organization
I20081209000759 MN Practitioner - Optometry 1557429735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Vision Clinic LTDGroup PAC ID 0244299287, 6 clinicians

Practice addresses (Care Compare)

2200 S Washington St
Grand Forks, ND 58201-6346
Phone (701) 775-3135

Merit-based Incentive Payment System (MIPS)

Final score
98.08 of 100Reported as group
Quality
96.16
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
660NDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision Clinic LTD Optometrist CurrentSince Aug 1, 2008 Accepting new patients
McAllen Rutz Eye Clinic PA Optometrist Past Accepting new patients
Mickelson Eye Clinic, PA Optometrist Past Accepting new patients

Locations

402 3rd St E
Ste 1
Ada, MN 56510
Phone (218) 784-4091

2200 S Washington St
Grand Forks, ND 58201
Phone (701) 330-5269

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1124283148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016346",
            "telephone_number": "701-330-5269",
            "fax_number": "701-772-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016346",
            "telephone_number": "701-330-5269",
            "fax_number": "701-772-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFF",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "660",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.