Individual provider Active NPI

Heidi Schauffele, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1801847306
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12414T Issued in CA
Practice address
3704 Marconi Ave
Suite 2
Sacramento, CA 95821-5338
Phone
(916) 971-3937
Fax
(916) 971-0872
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12414T CA Primary

Addresses

Primary practice location

3704 Marconi Ave
Suite 2
Sacramento, CA 95821-5338

Mailing address

3704 Marconi Ave
Suite 2
Sacramento, CA 95821-5338
Phone (916) 971-3937

Other names 1

  • Dr. Heidi Schauffele Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040131000347 CA Practitioner - Optometry 4587567920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matin Khoshnevis MD IncGroup PAC ID 9335536440, 5 clinicians

Practice addresses (Care Compare)

3704 Marconi Ave
Suite 2
Sacramento, CA 95821-5338
Phone (916) 971-3937

5773 Greenback LN
Sacramento, CA 95841-2013
Phone (916) 863-3143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12414TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Fleischmann Optometrist CurrentSince Jun 20, 2019 Accepting new patients
Matin Khoshnevis MD Inc Optometrist CurrentSince Dec 1, 2025 Accepting new patients

Locations

5773 Greenback Ln
Sacramento, CA 95841
Phone (916) 863-3143

3704 Marconi Ave
Ste 2
Sacramento, CA 95821
Phone (916) 971-3937

Interoperability endpoints

  • Direct secure messaging: hschauffele@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1801847306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 MARCONI AVE",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215338",
            "telephone_number": "916-971-3937",
            "fax_number": "916-971-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 MARCONI AVE",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215338",
            "telephone_number": "916-971-3937",
            "fax_number": "916-971-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUFFELE",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12414T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SCHAUFFELE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.