Individual provider Active NPI

Daniel E Schott, OD

  • Optometrist
  • Port Allegany, PA
National Provider Identifier
1801848700
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001451 Issued in PA
Practice address
21 Willow St
Port Allegany, PA 16743-1334
Phone
(814) 642-9408
Fax
(814) 642-9484
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001451 PA Primary

Addresses

Primary practice location

21 Willow St
Port Allegany, PA 16743-1334

Mailing address

21 Willow St
Port Allegany, PA 16743-1334
Phone (814) 642-9408

Other identifiers 1

IdentifierTypeStateIssuer
SC1622333OtherPAHIGHMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040813000771 PA Practitioner - Optometry 5890768337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Willow St
Port Allegany, PA 16743-1334
Phone (814) 642-9408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001451PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin M Schott OD PC Optometrist CurrentSince Jul 1, 2004 Accepting new patients

Locations

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

21 Willow St
Port Allegany, PA 16743
Phone (814) 642-9408

Interoperability endpoints

  • Direct secure messaging: drschott@schott-eye-coudersport.direct.kno2fy.com

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1801848700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILLOW ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431334",
            "telephone_number": "814-642-9408",
            "fax_number": "814-642-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WILLOW ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431334",
            "telephone_number": "814-642-9408",
            "fax_number": "814-642-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "SC1622333",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allegany, PA

Sources for this page

Verify at the official NPI Registry.