Individual provider Active NPI

Gregory Matthew Schultz, O.D.

  • Optometrist
  • Williamsburg, VA
National Provider Identifier
1801895891
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001377 Issued in VA
Practice address
101 Tewning Rd
Williamsburg, VA 23188-2639
Phone
(757) 229-1131
Fax
(757) 229-1586
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001377 VA Primary
Optometrist 152W00000X 18003497A IN

Addresses

Primary practice location

101 Tewning Rd
Williamsburg, VA 23188-2639

Mailing address

101 Tewning Rd
Williamsburg, VA 23188-2639
Phone (757) 229-1131

Other identifiers 2

IdentifierTypeStateIssuer
010070309MedicaidVA
143593OtherVAPIN/BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040921000183 VA Practitioner - Optometry 6204804974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Gregory M Schultz OD PCGroup PAC ID 8123242823, 2 clinicians

Practice addresses (Care Compare)

101 Tewning Rd
Williamsburg, VA 23188-2639
Phone (757) 229-1131

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Merit-based Incentive Payment System (MIPS)

Final score
81.91 of 100Reported as group
Quality
63.81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003497AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gregory M Schultz OD PC Optometrist CurrentSince Oct 22, 2013 Accepting new patients

Locations

101 Tewning Rd
Williamsburg, VA 23188
Phone (757) 229-1131

Interoperability endpoints

  • Direct secure messaging: greg.schultz@direct.revolutionehr.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1801895891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TEWNING RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882639",
            "telephone_number": "757-229-1131",
            "fax_number": "757-229-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TEWNING RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882639",
            "telephone_number": "757-229-1131",
            "fax_number": "757-229-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "GREGORY",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001377",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003497A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010070309",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN/BCBS",
            "identifier": "143593",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.