Individual provider Active NPI

Mary Beth Schanz, OD

  • Optometrist
  • Norwalk, CT
National Provider Identifier
1518908052
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002422 Issued in CT
Practice address
488 Main Ave Ste 2
Norwalk, CT 06851-1008
Phone
(203) 853-9000
Fax
(203) 853-1359
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002422 CT Primary

Addresses

Primary practice location

488 Main Ave Ste 2
Norwalk, CT 06851-1008

Mailing address

488 Main Ave Ste 2
Norwalk, CT 06851-1008
Phone (203) 853-9000

Other identifiers 2

IdentifierTypeStateIssuer
410048557OtherRAILROAD MEDICARE
090002422CT01OtherCABLUECROSS BLUESHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mschanz@spectoreye.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20101223000048 CT Practitioner - Optometry 5193913754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott M SpectorGroup PAC ID 1759377310, 3 clinicians

Practice addresses (Care Compare)

761 Main Ave
Suite 107
Norwalk, CT 06851-1080
Phone (203) 853-9900

Merit-based Incentive Payment System (MIPS)

Final score
98.65 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005828NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M Spector MD CurrentSince Jul 16, 2001 Accepting new patients

Locations

488 Main Ave
Ste 2
Norwalk, CT 06851
Phone (203) 842-8502

761 Main Ave
Ste 107
Norwalk, CT 06851
Phone (203) 853-9900

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1518908052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 MAIN AVE STE 2",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511008",
            "telephone_number": "203-853-9000",
            "fax_number": "203-853-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 MAIN AVE STE 2",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511008",
            "telephone_number": "203-853-9000",
            "fax_number": "203-853-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANZ",
        "first_name": "MARY BETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410048557",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "090002422CT01",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mschanz@spectoreye.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "488 Main Ave Ste 2",
            "city": "Norwalk",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068511008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.