Individual provider Active NPI

Vivian Christina Schaefer, O.D.

  • Optometrist
  • Quincy, MA
National Provider Identifier
1447691118
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0879 Issued in NH
Practice address
1 Scammell St
Quincy, MA 02169-6706
Phone
(617) 773-1353
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0879 NH Primary

Addresses

Primary practice location

1 Scammell St
Quincy, MA 02169-6706

Mailing address

1 Scammell St
Quincy, MA 02169-6706
Phone (617) 773-1353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140325000088 MA Practitioner - Optometry 7113160482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 High St
Medford, MA 02155-3820
Phone (781) 210-9851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0879NHMDAddiction (Substance Use Disorder) Counselor
4977MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
NK-Vision Inc. Optometrist CurrentSince May 25, 2025 Accepting new patients
Medford Optical Shop, Inc. Past Accepting new patients

Locations

16 High St
Medford, MA 02155
Phone (318) 402-9573

Organizations & group practices 2

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1447691118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCAMMELL ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696706",
            "telephone_number": "617-773-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCAMMELL ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696706",
            "telephone_number": "617-773-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "VIVIAN",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.