Active NPI
William E Schultz, O.D.
- Optometrist
- Wentzville, MO
National Provider Identifier
1760593529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TO2335
- Practice address
- 1971 Wentzville Pkwy
Wentzville, MO 63385-3424 - Phone
- (636) 639-1855
- Fax
- (636) 639-5056
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TO2335 | MO | Primary |
Addresses
Primary practice location
1971 Wentzville Pkwy
Wentzville, MO 63385-3424
Mailing address
55 Muirfield Point LN
Saint Charles, MO 63304-0410
Phone (636) 928-3991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO2335 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu-Crown, LLC | Optometrist | Past | Accepting new patients |
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760593529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MUIRFIELD POINT LN",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633040410",
"telephone_number": "636-928-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 WENTZVILLE PKWY",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853424",
"telephone_number": "636-639-1855",
"fax_number": "636-639-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "TO2335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.