Individual provider Active NPI

Jodi Schultz, O.D.

  • Optometrist
  • Wayne, PA
National Provider Identifier
1376845248
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE008365T Issued in PA
Practice address
129 N Wayne Ave
Wayne, PA 19087-3561
Phone
(106) 881-1121
Fax
(610) 688-4554
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE008365T PA Primary

Addresses

Primary practice location

129 N Wayne Ave
Wayne, PA 19087-3561

Mailing address

673 Conestoga TRD
Villanova, PA 19085-2939
Phone (610) 520-1342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429002291 PA Practitioner - Optometry 3577546019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 N Wayne Ave
Wayne, PA 19087-3561
Phone (610) 688-1121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE008365TPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Family Eyecare Optometrist CurrentSince Apr 9, 2021 Accepting new patients

Locations

129 N Wayne Ave
Wayne, PA 19087
Phone (610) 254-9155

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1376845248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 CONESTOGA TRD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852939",
            "telephone_number": "610-520-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WAYNE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873561",
            "telephone_number": "106-881-1121",
            "fax_number": "610-688-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JODI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008365T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.