Individual provider Active NPI

Paul T. Schwartz, O.D.

  • Optometrist
  • Ithaca, NY
National Provider Identifier
1598824724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4729 Issued in NY
Practice address
106 Dryden Rd
Ithaca, NY 14850-4628
Phone
(607) 273-1234
Fax
(315) 273-8526
NPI assigned
Dec 6, 2006
Sex
Male
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 4729 NY Primary

Addresses

Primary practice location

106 Dryden Rd
Ithaca, NY 14850-4628

Mailing address

2575 Otisco Valley Rd
Marietta, NY 13110-3247
Phone (315) 636-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200806003542 AZ Practitioner - Optometry 4688935455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

230 W Continental Rd
Suite 408
Green Valley, AZ 85622-3591
Phone (520) 625-5657

6615 N Oracle Rd
Tucson, AZ 85704-5644
Phone (520) 797-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4729NYMDOptometrist
004729NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince May 29, 2020 Accepting new patients
Edward G Bryant IV OD PLLC Optometrist PastSince Jan 1, 2013 Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

230 W Continental Rd
Ste 408
Green Valley, AZ 85622
Phone (520) 327-2020

4777 E Sunrise Dr
Ste 108
Tucson, AZ 85718

6987 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-2501

2820 N Campbell Ave
Tucson, AZ 85719
Phone (520) 323-3937

7125 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 296-4157

440 N Alvernon Way
Tucson, AZ 85711
Phone (520) 327-6211

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598824724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 OTISCO VALLEY RD",
            "city": "MARIETTA",
            "state": "NY",
            "postal_code": "131103247",
            "telephone_number": "315-636-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DRYDEN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504628",
            "telephone_number": "607-273-1234",
            "fax_number": "315-273-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "PAUL",
        "middle_name": "T.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.