Individual provider Active NPI

Anthony H Schaffer, OD

  • Optometrist
  • Sebring, FL
National Provider Identifier
1609878701
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3395 Issued in FL
Practice address
3525 US Hwy 27 N
Sebring, FL 33870-1640
Phone
(863) 471-1413
Fax
(863) 471-1416
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X V00567 FL
Optometrist 152W00000X OPC3395 FL Primary

Addresses

Primary practice location

3525 US Hwy 27 N
Sebring, FL 33870-1640

Mailing address

3810 Divot Rd
Sebring, FL 33872-1276
Phone (863) 471-1413

Other identifiers 1

IdentifierTypeStateIssuer
620922000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040812000862 FL Practitioner - Optometry 6406828060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Schaffer OD Mba PLGroup PAC ID 7315023256, 2 clinicians

Practice addresses (Care Compare)

525 US Hwy 27 N
Sebring, FL 33870-2154
Phone (863) 471-1881

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3395FLMDOptometrist
V00567FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Schaffer OD Mba PL Optometrist CurrentSince Oct 1, 2007 Accepting new patients

Locations

3525 US 27 N
Sebring, FL 33870
Phone (863) 385-3373

Organizations & group practices 1

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1609878701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 DIVOT RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721276",
            "telephone_number": "863-471-1413",
            "fax_number": "863-471-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 US HWY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701640",
            "telephone_number": "863-471-1413",
            "fax_number": "863-471-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "ANTHONY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "V00567",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620922000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.