Individual provider Active NPI

David Schultz, O.D., P.C.

  • Optometrist
  • King of Prussia, PA
National Provider Identifier
1336209691
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000720 Issued in PA
Practice address
491 Allendale Rd
Ste 120a
King of Prussia, PA 19406-1426
Phone
(610) 265-8831
Fax
(610) 992-9943
NPI assigned
Dec 9, 2006
Last updated
May 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-000720 PA Primary

Addresses

Primary practice location

491 Allendale Rd
Ste 120a
King of Prussia, PA 19406-1426

Mailing address

491 Allendale Rd
Ste 120a
King of Prussia, PA 19406-1426
Phone (610) 265-8831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000122 PA Practitioner - Optometry 2365602075 Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-000720PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1336209691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD",
            "address_2": "STE 120A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061426",
            "telephone_number": "610-265-8831",
            "fax_number": "610-992-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD",
            "address_2": "STE 120A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061426",
            "telephone_number": "610-265-8831",
            "fax_number": "610-992-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.