Michael D. Schall, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

524 Issued in SC

Legal business name

MICHAEL D. SCHALL, OD, PA

Practice address

1415 Remount Rd
N Charleston, SC 29406-3326

Phone

(843) 554-7554

Fax

(843) 554-7550

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Schall, ODNPI 1639175987

Title

Owner

Phone

(843) 554-7554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Schall I, O.D.

  • Optometrist
  • North Charleston, SC
  • NPI 1639175987
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1477724904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 REMOUNT RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294063326",
            "telephone_number": "843-554-7554",
            "fax_number": "843-554-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 REMOUNT RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294063326",
            "telephone_number": "843-554-7554",
            "fax_number": "843-554-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. SCHALL, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-554-7554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9962",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Medeiros Barker, RN
• Medically Fragile Childrens Program
• Caitlin L. Mengler, FNP
• Christopher A. Merrell, M.D.
• Stephen P Merrell, DMD
• Melanie Wells Miller, PA-C
• Dana Millet, RN, BSN, MHA
• Dawn C Mills, ANP
• Courtney B Moldenhauer, PA-C
• National Vision, Inc.

• Optometrist in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.