Organization Active NPI

Kent Schauer OD PC

  • Corneal and Contact Management Optometrist
  • Albuquerque, NM
National Provider Identifier
1336427707
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
221 Issued in NM
Legal business name
KENT SCHAUER OD PC
Practice address
4101 Morris St NE
Suite a
Albuquerque, NM 87111-3605
Phone
(505) 299-4426
Fax
(505) 299-3746
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mrs. Brenda Schauer
Title
Office Manager
Phone
(505) 299-4426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 221 NM Primary

Addresses

Primary practice location

4101 Morris St NE
Suite a
Albuquerque, NM 87111-3605

Mailing address

4101 Morris St NE Ste a
Albuquerque, NM 87111-3605
Phone (505) 299-4426

Other identifiers 1

IdentifierTypeStateIssuer
NM01P518OtherNMBLUE CROSS BLUE SHIELD OF NEW MEXICO

National Provider Directory

National Provider Directory

Locations

4101 Morris St NE
Ste A
Albuquerque, NM 87111
Phone (505) 238-4547

Practitioners & affiliated clinicians

Practitioners 2

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1336427707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MORRIS ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113605",
            "telephone_number": "505-299-4426",
            "fax_number": "505-299-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MORRIS ST NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113605",
            "telephone_number": "505-299-4426",
            "fax_number": "505-299-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT SCHAUER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "SCHAUER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-299-4426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NM",
            "license": "221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NEW MEXICO",
            "identifier": "NM01P518",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.