Individual provider Active NPI

Craig E Schacherer, O.D.

  • Optometrist
  • Wylie, TX
National Provider Identifier
1649281601
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4141T Issued in TX
Practice address
303 S Highway 78
Suite 203
Wylie, TX 75098-3957
Phone
(972) 442-2020
Fax
(972) 442-5479
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4141T TX Primary

Addresses

Primary practice location

303 S Highway 78
Suite 203
Wylie, TX 75098-3957

Mailing address

303 S Highway 78
Suite 203
Wylie, TX 75098-3957
Phone (972) 442-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090520000119 TX Practitioner - Optometry 6002965183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 S Hwy 78 203
Wylie, TX 75098-3957
Phone (972) 442-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4141TXMDNutrition Chiropractor
4141TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig E Schacherer OD PA Optometrist CurrentSince Feb 1, 2012 Accepting new patients

Locations

303 S Highway 78
Ste 203
Wylie, TX 75098
Phone (214) 442-2020

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1649281601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S HIGHWAY 78",
            "address_2": "SUITE 203",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983957",
            "telephone_number": "972-442-2020",
            "fax_number": "972-442-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S HIGHWAY 78",
            "address_2": "SUITE 203",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983957",
            "telephone_number": "972-442-2020",
            "fax_number": "972-442-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHERER",
        "first_name": "CRAIG",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4141T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.