Active NPI
Scott Eric Schachter, O.D.
- Optometrist
- Pismo Beach, CA
National Provider Identifier
1447230602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 9353
- Practice address
- 300 James Way
Suite 210
Pismo Beach, CA 93449-2873 - Phone
- (805) 773-6000
- Fax
- (805) 773-2120
- NPI assigned
- Jan 21, 2006
- Last updated
- Nov 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 9353 | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OPT 9353 | CA |
Addresses
Primary practice location
300 James Way
Suite 210
Pismo Beach, CA 93449-2873
Mailing address
300 James Way
Suite 210
Pismo Beach, CA 93449-2873
Phone (805) 773-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0009353 | Medicaid | CA | |
| 352214885 | Other | CA | BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 9353 | CA | MD | Optometrist |
| 9353 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Mona Gill O D Corp | Optometrist | Past | Accepting new patients |
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.
-
dba Advanced Eyecare-Eyewear Optometry
- Optometrist
- Pismo Beach, CA
- NPI 1578698312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1447230602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 JAMES WAY",
"address_2": "SUITE 210",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934492873",
"telephone_number": "805-773-6000",
"fax_number": "805-773-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 JAMES WAY",
"address_2": "SUITE 210",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934492873",
"telephone_number": "805-773-6000",
"fax_number": "805-773-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHACHTER",
"first_name": "SCOTT",
"middle_name": "ERIC",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-21",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 9353",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "OPT 9353",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0009353",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "352214885",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pismo Beach, CA
- Rebecca Samet, M.D
- Antoinette Carmen San Bartolome, MD
- San Luis Physical Therapy & Orthopedic Rehabilitation Inc (Movement For Life Physical Therapy)
- Dewey Sandberg, MD
- Lisa Ruth Saslove, MSRD
- Briana Leigh Schiro
- Marilyn Mullaney Schmidt, LMFT
- Mary Ann Schneider, PA-C
- Wallace Jack Schwam, M.D.
- Scott E Schachter Oda Professional Corporation (Advanced Eyecare-Eyewear Optometry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.