Active NPI
David Schultz, O.D., P.C.
- Optometrist
- King of Prussia, PA
National Provider Identifier
1336209691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG-000720
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000122 | PA | Practitioner - Optometry | 2365602075 | Practice locations: King of Prussia, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG-000720 | PA | MD | Optometrist |
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.