Organization Active NPI

Schultz Family Eyecare

Doing business as Jodi Schultz, O.D.

  • Optometrist
  • Wayne, PA
National Provider Identifier
1639755861
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SCHULTZ FAMILY EYECARE
Doing business as
Jodi Schultz, O.D.
Practice address
129 N Wayne Ave
Wayne, PA 19087-3561
Phone
(214) 325-8045
NPI assigned
Mar 18, 2021
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Dr. Jodi E Schultz, ODNPI 1376845248
Title
Optometrist
Phone
(610) 688-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

129 N Wayne Ave
Wayne, PA 19087-3561

Mailing address

129 N Wayne Ave
Wayne, PA 19087-3561
Phone (214) 325-8045

Other names 1

  • Jodi Schultz, O.D. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Wayne

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422001990 PA Part B Supplier - Clinic/Group Practice 8820406341 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, PA

National Provider Directory

National Provider Directory

Locations

129 N Wayne Ave
Wayne, PA 19087
Phone (610) 254-9155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1639755861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WAYNE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873561",
            "telephone_number": "214-325-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WAYNE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873561",
            "telephone_number": "214-325-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHULTZ FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "610-688-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wayne",
            "affiliation": "N",
            "address_1": "129 N Wayne Ave",
            "city": "Wayne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190873561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jodi Schultz, O.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jodi Schultz, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.