Individual provider Active NPI

James A Schultz, O.D.

  • Optometrist
  • Jamestown, NY
National Provider Identifier
1174871578
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007908 Issued in NY
Practice address
555 Fairmount Ave
Jamestown, NY 14701-2750
Phone
(716) 664-7601
Fax
(716) 664-3353
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 TUV007908 NY Primary

Addresses

Primary practice location

555 Fairmount Ave
Jamestown, NY 14701-2750

Mailing address

555 Fairmount Ave
Jamestown, NY 14701-2750
Phone (716) 664-7601

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20121114000003 NY Practitioner - Optometry 5193976447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamestown Optometric Group, PCGroup PAC ID 2365569423, 5 clinicians

Practice addresses (Care Compare)

555 Fairmount Ave
Jamestown, NY 14701-2750
Phone (716) 664-7601

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
79.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007908NYMDOptometrist
007908NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Optometric Group, PC Optometrist CurrentSince Aug 1, 2012 Accepting new patients

Locations

555 Fairmount Ave
Jamestown, NY 14701
Phone (716) 664-7601

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1174871578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012750",
            "telephone_number": "716-664-7601",
            "fax_number": "716-664-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012750",
            "telephone_number": "716-664-7601",
            "fax_number": "716-664-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.