Individual provider Active NPI

Marie Ann Schaefer, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1386927861
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2939 Issued in CO
Practice address
1580 Blake St
Denver, CO 80202-1322
Phone
(303) 844-3937
Fax
(303) 844-3940
NPI assigned
Sep 21, 2011
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6070 OH
Optometrist 152W00000X 2939 CO Primary

Addresses

Primary practice location

1580 Blake St
Denver, CO 80202-1322

Mailing address

1580 Blake St
Denver, CO 80202-1322
Phone (303) 844-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170111000054 CO Practitioner - Optometry 1658696059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Vision Care PCGroup PAC ID 5395060776, 4 clinicians

Practice addresses (Care Compare)

1525 15TH St
Denver, CO 80202-1301
Phone (303) 844-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2939COMDOptometrist
6070OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Optical, PLLC Optometrist CurrentSince Dec 5, 2016 Accepting new patients
Professional Vision Care, P.C. Optometrist CurrentSince Oct 19, 2014 Accepting new patients

Locations

1525 15th St
Denver, CO 80202
Phone (303) 844-3937

1580 Blake St
Denver, CO 80202
Phone (303) 844-3937

1632 S Broadway
Denver, CO 80210
Phone (303) 844-3937

Organizations & group practices 3

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1386927861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 BLAKE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021322",
            "telephone_number": "303-844-3937",
            "fax_number": "303-844-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BLAKE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021322",
            "telephone_number": "303-844-3937",
            "fax_number": "303-844-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "MARIE",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6070",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.