NPIMap

Organization Active NPI

Jeffrey E. Schultz, O.D., Inc

  • Optometrist
  • Independence, OH
National Provider Identifier
1831370840
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3416T157 Issued in OH
Legal business name
JEFFREY E. SCHULTZ, O.D., INC
Practice address
6060 Rockside Woods Blvd N
Suite 110
Independence, OH 44131-7303
Phone
(216) 581-8484
Fax
(216) 662-5445
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Jeffrey E. Schultz, O.D.NPI 1437153129
Title
President
Phone
(216) 581-8484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3416T157 OH Primary

Addresses

Primary practice location

6060 Rockside Woods Blvd N
Suite 110
Independence, OH 44131-7303

Mailing address

6060 Rockside Woods Blvd N
Suite 110
Independence, OH 44131-7303
Phone (216) 581-8484

Other identifiers 5

IdentifierTypeStateIssuer
0277123MedicaidOH
0413561OtherOHRENDERING ID#
1437153129OtherOHINDIVIDUAL NPI NUMBER
0348410001OtherOHADMINISTAR FEDERAL ID
9270432OtherOHOHIO-MEDICARE P10 NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1831370840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 ROCKSIDE WOODS BLVD N",
            "address_2": "SUITE 110",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441317303",
            "telephone_number": "216-581-8484",
            "fax_number": "216-662-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 ROCKSIDE WOODS BLVD N",
            "address_2": "SUITE 110",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441317303",
            "telephone_number": "216-581-8484",
            "fax_number": "216-662-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E. SCHULTZ, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-581-8484",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3416T157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277123",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING ID#",
            "identifier": "0413561",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1437153129",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FEDERAL ID",
            "identifier": "0348410001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO-MEDICARE P10 NUMBER",
            "identifier": "9270432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.