Steven P. Schwartz, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TAO643 Issued in MD

Legal business name

STEVEN P. SCHWARTZ, O.D., P.A.

Practice address

101 Log Canoe Cir
Suite E
Stevensville, MD 21666-2106

Phone

(410) 643-4277

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven P. Schwartz, O.D.

Title

Owner-President

Phone

(410) 643-4277

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1558414599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOG CANOE CIR",
            "address_2": "SUITE E",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662106",
            "telephone_number": "410-643-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LOG CANOE CIR",
            "address_2": "SUITE E",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662106",
            "telephone_number": "410-643-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P. SCHWARTZ, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "410-643-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TAO643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801648801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRSTBLUECROSSBLUESHIELD",
            "identifier": "420635-3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.