Organization Active NPI

James M. Schaefer, O.D.

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1679742225
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3000T636 Issued in OH
Legal business name
JAMES M. SCHAEFER, O.D.
Practice address
217 Delano Ave Ste D
Chillicothe, OH 45601-2276
Phone
(740) 772-1105
Fax
(740) 772-1105
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Dusti Sheets
Title
Office Manager
Phone
(740) 772-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3000T636 OH Primary

Addresses

Primary practice location

217 Delano Ave Ste D
Chillicothe, OH 45601-2276

Mailing address

217 Delano Ave Ste D
Chillicothe, OH 45601-2276
Phone (740) 772-1105

Other identifiers 8

IdentifierTypeStateIssuer
OH3000OtherOHEYEMED
0244711MedicaidOH
57818OtherOHDAVIS VISION
JS46590OtherOHSPECTERA
0244711OtherOHMOLINA
298468047004OtherOHMEDICAL MUTUAL
000000525319OtherOHBLUE CROSS BLUE SHIELD
0005255084OtherOHAETNA

National Provider Directory

National Provider Directory

Locations

217 Delano Ave
Ste D
Chillicothe, OH 45601
Phone (740) 772-1105

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1679742225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DELANO AVE STE D",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012276",
            "telephone_number": "740-772-1105",
            "fax_number": "740-772-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DELANO AVE STE D",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012276",
            "telephone_number": "740-772-1105",
            "fax_number": "740-772-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. SCHAEFER, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "DUSTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-772-1105"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3000T636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH3000",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244711",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "57818",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "JS46590",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "0244711",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "298468047004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000525319",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005255084",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.