Active NPI
Paul T. Schwartz, O.D.
- Optometrist
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4729
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4729 | NY | MD | Optometrist |
| 004729 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H McDougall OD Arizona PC | Optometrist | Current | Accepting new patients |
| Edward G Bryant IV OD PLLC | Optometrist | Past | 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.
-
- Optometrist
- Fountain Hills, AZ
- NPI 1851882179
-
- Optometrist
- Ithaca, NY
- NPI 1912241175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.