Individual provider Active NPI

Steven Ray Schaff, O.D.

  • Optometrist
  • Jackson, MI
National Provider Identifier
1659488609
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002927 Issued in MI
Practice address
2700 Wildwood Ave
Jackson, MI 49202-3933
Phone
(517) 789-8119
Fax
(517) 789-6276
NPI assigned
Aug 24, 2006
Last updated
Sep 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002927 MI Primary

Addresses

Primary practice location

2700 Wildwood Ave
Jackson, MI 49202-3933

Mailing address

2700 Wildwood Ave
Jackson, MI 49202-3933
Phone (517) 789-8119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040922000044 MI Practitioner - Optometry 6709854698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2700 Wildwood Ave
Jackson, MI 49202-3933
Phone (517) 789-8119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schaff Vision Care, LLC Optometrist CurrentSince Jun 24, 2004 Accepting new patients
Schaff Vision Care, LLC Optometrist Current Accepting new patients
Kent Vision Centers Inc Optometrist Past Accepting new patients

Locations

2700 Wildwood Ave
Jackson, MI 49202
Phone (517) 230-5547

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1659488609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023933",
            "telephone_number": "517-789-8119",
            "fax_number": "517-789-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023933",
            "telephone_number": "517-789-8119",
            "fax_number": "517-789-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFF",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.