Active NPI
Eric Richard Schaible, M.D.
- Ophthalmology Physician
- Port Charlotte, FL
National Provider Identifier
1245238526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME66342
- Practice address
- 21275 Olean Blvd
Port Charlotte, FL 33952-6704 - Phone
- (941) 625-1325
- Fax
- (941) 625-0131
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME66342 | FL | Primary |
Addresses
Primary practice location
21275 Olean Blvd
Port Charlotte, FL 33952-6704
Mailing address
21275 Olean Blvd
Port Charlotte, FL 33952-6704
Phone (941) 625-1325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25451Z | Other | FL | MEDICARE PTAN |
| 375853200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME66342 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Eye Optical LC | Past | Accepting new patients |
Interoperability endpoints
- drschaible@cec.direct.eyemdemr.com
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.
-
- Eyewear Supplier
- Punta Gorda, FL
- NPI 1508181165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1245238526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21275 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526704",
"telephone_number": "941-625-1325",
"fax_number": "941-625-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21275 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526704",
"telephone_number": "941-625-1325",
"fax_number": "941-625-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAIBLE",
"first_name": "ERIC",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME66342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "25451Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375853200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.