Kelsey Schultz

Primary specialty

OptometristTaxonomy code 152W00000X

License

34616 Issued in CA

Practice address

20046 Lake Chabot Rd
Castro Valley, CA 94546-5304

Phone

(239) 719-0009

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NC2 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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bladen Eye Center OD PAGroup PAC ID 1355469586, 2 clinicians

Omni Eye Services OD PLLCGroup PAC ID 9032204508, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bladen Eye Center OD PLLC

  • Optometrist
  • Elizabethtown, NC
  • NPI 1336299684
  Medicare reassignment Care Compare group NPD
• Omni Eye Services OD PLLC

  • Optometrist
  • Wilmington, NC
  • NPI 1225188071
  Medicare reassignment Care Compare group NPD
• Robert Edelman, M.D.

  • Ophthalmology Physician
  • Castro Valley, CA
  • NPI 1184832313
  Medicare reassignment

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1164044111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20046 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465304",
            "telephone_number": "510-881-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20046 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465304",
            "telephone_number": "239-719-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Vito Sapugay, MD
• Sarita Satpathy, MD
• Linda Collette Schepis
• Janice Antonelli Schmidt, LMFT
• Alexandra Noemi Schultz, M.S., SLP-CCC
• Judith Ellen Schwartz, MSW
• Linda Ann Scott-Hickman, PHARM D
• Sedaze Anesthesia Consultants a Professional Nursing Corporation
• Stephany Sedlmayer Orellana, M.S. CCC, SLP
• Joanne M. Seitz, RNC, NP

• Optometrist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.