Wayne C. Schrader, Optometrist, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5769 Issued in CA

Legal business name

WAYNE C. SCHRADER, OPTOMETRIST, INC.

Practice address

1109 Kennedy PL
Suite 1
Davis, CA 95616-1271

Phone

(530) 756-2481

Fax

(530) 756-3548

NPI assigned

Oct 21, 2008

Last updated

Jan 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne C Schrader, O.D.NPI 1932109410

Title

President

Phone

(530) 756-2481

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Wayne Charles Schrader, OD

  • Optometrist
  • Davis, CA
  • NPI 1932109410
  Authorized official Same address or phone
• Shea Marie Patrick, O.D.

  • Optometrist
  • Sacramento, CA
  • NPI 1780784348
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1528210531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 KENNEDY PL",
            "address_2": "SUITE 1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161271",
            "telephone_number": "530-756-2481",
            "fax_number": "530-756-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 KENNEDY PL",
            "address_2": "SUITE 1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161271",
            "telephone_number": "530-756-2481",
            "fax_number": "530-756-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE C. SCHRADER, OPTOMETRIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-756-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Zachary Ward, PH.D.
• Erica N Waterford, B.A.
• Rose Waters, CNM
• Wendy Ellen Watson, MFT
• Paula A Watts-White, MD
• Kaitlyn Ashley Webster
• Martin Weinstein, D.D.S.
• Scott Andrew Weintraub
• Jennifer Anne Welch
• Wanda Mary Wenman, M.D.

• Optometrist in Davis, CA
• Providers in Davis, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.