Organization Active NPI

Schaefer Oculofacial Plastic Surgery, PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Buffalo, NY
National Provider Identifier
1407629033
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
SCHAEFER OCULOFACIAL PLASTIC SURGERY, PLLC
Practice address
11 Summer St Ste 300
Buffalo, NY 14209-2256
Phone
(716) 479-8489
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Dr. Jamie Lea Schaefer, MDNPI 1538401799
Title
Ophthalmologist / Owner
Phone
(716) 479-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

11 Summer St Ste 300
Buffalo, NY 14209-2256

Mailing address

467 Hammocks Dr
Orchard Park, NY 14127-1685
Phone (716) 479-8489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240228001287 NY Part B Supplier - Clinic/Group Practice 4486099637 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

11 Summer St
Ste 300
Buffalo, NY 14209
Phone (716) 277-0340

Practitioners & affiliated clinicians

Practitioners 1

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": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1407629033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 HAMMOCKS DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271685",
            "telephone_number": "716-479-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SUMMER ST STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092256",
            "telephone_number": "716-479-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAEFER OCULOFACIAL PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST / OWNER",
        "authorized_official_telephone_number": "716-479-8489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.