Paul N. Schacknow, M.D., PH.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME55008 Issued in FL

Practice address

509 SE Riverside Dr Ste 302
Stuart, FL 34994-2579

Phone

(772) 287-9000

Fax

(772) 287-0507

NPI assigned

Jan 23, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Miami, LM Miller School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Florida Eye Institute PAGroup PAC ID 2062310378, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Florida Eye Institute PA

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1184788283
  Medicare reassignment Care Compare group NPD
• East Florida Eye Institute PA

  • Eyewear Supplier
  • Stuart, FL
  • NPI 1801950647
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1255301362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR STE 302",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "772-287-9000",
            "fax_number": "772-287-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR STE 302",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "772-287-9000",
            "fax_number": "772-287-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACKNOW",
        "first_name": "PAUL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME55008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09423",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063674600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Scalora
• Krystal Nehur Scantling
• Brandi Lynn Scarberry, LPN
• Gisela Emilia Scavello Vivian
• Emily Scelta-Neff, LMHC
• William S Schacter, D.M.D.
• Brittany Lucas Schafer, BCBA
• Bonnie Keeling Schamback, MA PA
• Gail Walker Schamback, D.D.S.
• Ericka Scheid

• Ophthalmology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.