Active NPI
James M. Schaefer, O.D.
- Optometrist
- Chillicothe, OH
National Provider Identifier
1679742225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3000T636
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH3000 | Other | OH | EYEMED |
| 0244711 | Medicaid | OH | |
| 57818 | Other | OH | DAVIS VISION |
| JS46590 | Other | OH | SPECTERA |
| 0244711 | Other | OH | MOLINA |
| 298468047004 | Other | OH | MEDICAL MUTUAL |
| 000000525319 | Other | OH | BLUE CROSS BLUE SHIELD |
| 0005255084 | Other | OH | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.