Organization Active NPI

Schutz Optical Co Inc

  • Optician
  • Depew, NY
National Provider Identifier
1295808079
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
SCHUTZ OPTICAL CO INC
Practice address
3192 Walden Ave
Depew, NY 14043-2846
Phone
(716) 684-4950
Fax
(716) 684-3036
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Charles Joseph Hornberger Jr., OD
Title
President
Phone
(716) 941-5585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3192 Walden Ave
Depew, NY 14043-2846

Mailing address

8425 Boston State Rd
Boston, NY 14025-9633
Phone (716) 941-5340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071208000015 NY Part B Supplier - Clinic/Group Practice 0244329647 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, NY; Depew, NY
O20100930071587 NY DME Supplier - Physician - OptometristDME Supplier - Optician 0244329647 Practice locations: Depew, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Schutz Optical Co., Inc.3192 Walden Ave, Depew, NY 14043-2846(716) 684-3124 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jun 11, 2002

National Provider Directory

National Provider Directory

Locations

8425 Boston State Rd
Boston, NY 14025
Phone (716) 941-5340

3192 Walden Ave
Depew, NY 14043
Phone (716) 684-3124

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1295808079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 BOSTON STATE RD",
            "city": "BOSTON",
            "state": "NY",
            "postal_code": "140259633",
            "telephone_number": "716-941-5340",
            "fax_number": "716-941-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 WALDEN AVE",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432846",
            "telephone_number": "716-684-4950",
            "fax_number": "716-684-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUTZ OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "HORNBERGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-941-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.