Individual provider Active NPI

Mark D. Schafe, DO

  • Ophthalmic Technician/Technologist
  • Ft. Myers, FL
National Provider Identifier
1497792774
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
FL2348 Issued in FL
Practice address
6900 International Center Blvd
Collins Vision
Ft. Myers, FL 33912
Phone
(239) 936-4706
Fax
(239) 225-6775
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X FL2348 FL Primary

Addresses

Primary practice location

6900 International Center Blvd
Collins Vision
Ft. Myers, FL 33912

Mailing address

6900 International Center Blvd
Collins Vision
Ft. Myers, FL 33912
Phone (239) 936-4706

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
FL2348FLMDOphthalmic Technician/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1497792774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 INTERNATIONAL CENTER BLVD",
            "address_2": "COLLINS VISION",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-936-4706",
            "fax_number": "239-225-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 INTERNATIONAL CENTER BLVD",
            "address_2": "COLLINS VISION",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-936-4706",
            "fax_number": "239-225-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFE",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "FL",
            "license": "FL2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Myers, FL

Sources for this page

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

Verify at the official NPI Registry.