NPIMap

Organization Active NPI

Stephen D. Schaefer, O.D., P.a.

Doing business as San Gabriel Eye Center

  • Optometrist
  • Georgetown, TX
National Provider Identifier
1457539124
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01966T Issued in TX
Legal business name
STEPHEN D. SCHAEFER, O.D., P.A.
Doing business as
San Gabriel Eye Center
Practice address
1401 Williams Dr
Georgetown, TX 78628-4115
Phone
(512) 863-2078
Fax
(512) 869-2077
NPI assigned
Feb 5, 2008
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Stephen D. Schaefer, O.D., P.A.NPI 1285739391
Title
Owner
Phone
(512) 863-2078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 01966T TX Primary

Addresses

Primary practice location

1401 Williams Dr
Georgetown, TX 78628-4115

Mailing address

1401 Williams Dr
Georgetown, TX 78628-4115
Phone (512) 863-2078

Other names 1

  • San Gabriel Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Williams Dr
Ste 101
Georgetown, TX 78628
Phone (512) 863-2078

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1457539124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284115",
            "telephone_number": "512-863-2078",
            "fax_number": "512-869-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284115",
            "telephone_number": "512-863-2078",
            "fax_number": "512-869-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. SCHAEFER, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-863-2078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "01966T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Gabriel Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.