Individual provider Active NPI

Timothy J Schwach, OD

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1447255195
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ORT5140-1 Issued in NY
Practice address
5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888
Phone
(716) 631-9970
Fax
(716) 631-8809
NPI assigned
Jun 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT5140-1 NY
Optometrist 152W00000X ORT5140-1 NY Primary

Addresses

Primary practice location

5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888

Mailing address

5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888
Phone (716) 631-9970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060208000650 NY Practitioner - Optometry 1355356627 Reassigns benefits to 1 organization
Practice locations: Orchard Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calhoun Eye Care and Optometry PCGroup PAC ID 3173538683, 4 clinicians

Practice addresses (Care Compare)

5488 Sheridan Dr
Suite 300
Williamsville, NY 14221-3888
Phone (716) 631-9970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005140NYMDMental Health Counselor
ORT5140-1NYMDOptometrist
VUT5140-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun Eye Care and Optometry PC CurrentSince Aug 1, 2016 Accepting new patients
Schutz Optical Co Inc Optometrist PastSince Dec 28, 2022 Accepting new patients
Robert Optical Inc. Past Accepting new patients

Locations

6622 Main St
Ste 7
Williamsville, NY 14221
Phone (716) 631-9970

5488 Sheridan Dr
Ste 300
Williamsville, NY 14221
Phone (716) 631-9970

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1447255195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5488 SHERIDAN DR STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213888",
            "telephone_number": "716-631-9970",
            "fax_number": "716-631-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 SHERIDAN DR STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213888",
            "telephone_number": "716-631-9970",
            "fax_number": "716-631-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWACH",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT5140-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT5140-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.