Individual provider Active NPI

Kyle Matthew Schaub, OD

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1679682777
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3953 Issued in FL
Practice address
2601 S Tamiami TRL
Sarasota, FL 34239-4504
Phone
(941) 925-2020
Fax
(941) 330-2200
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3953 FL Primary

Addresses

Primary practice location

2601 S Tamiami TRL
Sarasota, FL 34239-4504

Mailing address

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Other identifiers 1

IdentifierTypeStateIssuer
28562OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kschaub@centerforsight.intellechartdirect.net Center For Sight, PL

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
I20051109000220 FL Practitioner - Optometry 5890713739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight PLGroup PAC ID 1658340294, 35 clinicians

Practice addresses (Care Compare)

2601 S Tamiami TRL
Sarasota, FL 34239-4504
Phone (941) 925-2020

Merit-based Incentive Payment System (MIPS)

Final score
97.3 of 100Reported as individual
Quality
96.73
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3953FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Optometrist CurrentSince Sep 15, 2005 Accepting new patients

Locations

1800 Siesta Dr
Sarasota, FL 34239
Phone (941) 953-2020

2601 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 277-9041

5409 University Pkwy
University Park, FL 34201
Phone (941) 351-9440

1360 E Venice Ave
Venice, FL 34285

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kschaub@useye.intellechartdirect.net

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, 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1679682777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394504",
            "telephone_number": "941-925-2020",
            "fax_number": "941-330-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUB",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28562",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kschaub@centerforsight.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Center For Sight, PL",
            "address_1": "2601 S Tamiami Trl",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342394504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.