Paul J Shlafer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MN1963 Issued in MN

Practice address

3333 Hazelton Rd
Edina, MN 55435-4204

Phone

(952) 926-5300

Fax

(952) 926-2729

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Paul J Schlaefer Other name

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890

  MN

  Medicare reassignment Care Compare group
• Visual Edge, Inc

  dba Pearle Vision

  • Optician
  • Duluth, MN
  • NPI 1679624621
  NPD (past)
• Visual Edge, Inc

  dba Pearle Vision

  • Optician
  • Bloomington, MN
  • NPI 1841341898
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1154327757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HAZELTON RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354204",
            "telephone_number": "952-926-5300",
            "fax_number": "952-926-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HAZELTON RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354204",
            "telephone_number": "952-926-5300",
            "fax_number": "952-926-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLAFER",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN1963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION CARE",
            "identifier": "11986",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84414SH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "23746",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540825300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "MN1963",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "SH1426016",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA /UNITED HEALTHCARE",
            "identifier": "22-20252",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "SCHLAEFER",
            "middle_name": "J",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jordan Shilts
• Tahani Shire
• Michael A Shirilla, DPT
• Elaine Marie Shirley, NP
• Sergey Shkurovich, M.D.
• Jamie Sarah Shores, DPT
• Michelle Shorten
• Fatxi Abdi Shukri
• John Charles Shultz, PA-C
• Philip Alden Sidell, MD

• Optometrist in Edina, MN
• Providers in Edina, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.