Individual provider Active NPI

Sharon Lynn Schutz, OD OPTOMETRIST

  • Optometrist
  • Tonawanda, NY
National Provider Identifier
1306060322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NYTUV003292 Issued in NY
Practice address
4244 Delaware Avenue
Council Opticians of Tonawanda Inc
Tonawanda, NY 14150-6120
Phone
(716) 695-3733
Fax
(716) 695-0112
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NYTUV003292 NY Primary

Addresses

Primary practice location

4244 Delaware Avenue
Council Opticians of Tonawanda Inc
Tonawanda, NY 14150-6120

Mailing address

6500 Poplar Court
East Amherst, NY 14051-1508
Phone (716) 741-0220

Other identifiers 2

IdentifierTypeStateIssuer
TUV003292OtherNYLICENSE #
00634491MedicaidNY

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
I20160205000274 NY Practitioner - Optometry 6305140724 Practice locations: Hornell, NY; Lockport, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NYTUV003292NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Council Opticians of Tonawanda Inc Optometrist Past Accepting new patients

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306060322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 POPLAR COURT",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511508",
            "telephone_number": "716-741-0220",
            "fax_number": "716-695-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 DELAWARE AVENUE",
            "address_2": "COUNCIL OPTICIANS OF TONAWANDA INC",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506120",
            "telephone_number": "716-695-3733",
            "fax_number": "716-695-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NYTUV003292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "TUV003292",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00634491",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.