Individual provider Active NPI

Kathy Svane Schreick, OD

  • Optometrist
  • Canyon Country, CA
National Provider Identifier
1508948696
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10205T Issued in CA
Practice address
19180 Soledad Canyon Rd
Canyon Country, CA 91351-3364
Phone
(661) 298-1733
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10205T CA Primary

Addresses

Primary practice location

19180 Soledad Canyon Rd
Canyon Country, CA 91351-3364

Mailing address

19180 Soledad Canyon Rd
Canyon Country, CA 91351-3364
Phone (661) 298-1733

Other names 1

  • Dr. Kathy Svane Schreick-Latto Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110414000753 CA Practitioner - Optometry 6507040516 Reassigns benefits to 1 organization
Practice locations: Canyon Country, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ira S Latto MD Medical CorpGroup PAC ID 3779626130, 2 clinicians

Practice addresses (Care Compare)

19180 Soledad Canyon Rd
Canyon Country, CA 91351-3364
Phone (661) 298-1733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10205TCAMDOptometrist
10205CAMDVascular Surgery Physician

Organizations & group practices 1

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508948696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19180 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513364",
            "telephone_number": "661-298-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19180 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513364",
            "telephone_number": "661-298-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREICK",
        "first_name": "KATHY",
        "middle_name": "SVANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10205T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SCHREICK-LATTO",
            "middle_name": "SVANE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canyon Country, CA

Sources for this page

Verify at the official NPI Registry.