Active NPI
Elwin Winfield Schutt, O.D.
- Optometrist
- Post Falls, ID
National Provider Identifier
1598799801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-499
- Practice address
- 185 W 4TH Ave
Suite a
Post Falls, ID 83854-5089 - Phone
- (208) 773-7434
- Fax
- (208) 777-0836
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-499 | ID | Primary |
Addresses
Primary practice location
185 W 4TH Ave
Suite a
Post Falls, ID 83854-5089
Mailing address
PO Box 1599
Post Falls, ID 83877-1599
Phone (208) 773-7434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000773700 | Medicaid | ID | |
| V7322 | Other | ID | BLUE CROSS OF IDAHO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-499 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Falls Optometric Physicians PLLC | Optometrist | Past | Accepting new patients |
| Post Falls Vision Clinic PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Post Falls, ID
- NPI 1851476493
-
dba Post Falls Optometric Physicians
- Optometrist
- Post Falls, ID
- NPI 1265688584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1598799801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838771599",
"telephone_number": "208-773-7434",
"fax_number": "208-777-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 W 4TH AVE",
"address_2": "SUITE A",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545089",
"telephone_number": "208-773-7434",
"fax_number": "208-777-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUTT",
"first_name": "ELWIN",
"middle_name": "WINFIELD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000773700",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "V7322",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.