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
- Last updated
- Mar 16, 2011
- 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
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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.