Active NPI
Edwin M Schott, OD
- Optometrist
- Port Allegany, PA
National Provider Identifier
1366442535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000103
- Practice address
- 21 Willow St
Port Allegany, PA 16743-1334 - Phone
- (814) 642-9408
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 | OEG000103 | PA | Primary |
Addresses
Primary practice location
21 Willow St
Port Allegany, PA 16743-1334
Mailing address
21 Willow St
Port Allegany, PA 16743-1334
Phone (814) 642-9408
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38767 | Other | PA | COLE MANAGED VISION DR# |
| PA5169 | Other | PA | EYEMED |
| SC030043 | Other | PA | HIGHMARK BCBS |
| 323300 | Other | PA | UPMC PROVIDER # |
| 50059 | Other | PA | DAVIS VISION |
| PA05169 | Other | PA | VBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1366442535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WILLOW ST",
"city": "PORT ALLEGANY",
"state": "PA",
"postal_code": "167431334",
"telephone_number": "814-642-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WILLOW ST",
"city": "PORT ALLEGANY",
"state": "PA",
"postal_code": "167431334",
"telephone_number": "814-642-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOTT",
"first_name": "EDWIN",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE MANAGED VISION DR#",
"identifier": "38767",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "PA5169",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "SC030043",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC PROVIDER #",
"identifier": "323300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "50059",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "PA05169",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Allegany, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.