Gina Marie Schulz, LDO

Individual provider Active NPI Optician · Amelia, OH

NPI 1831893544 · NPPES record last updated Mar 28, 2023

Key facts

NPI
1831893544
Entity type
Individual (NPI type 1)
Primary specialty
Optician 156FX1800X
License
OP.003797-SC (OH)
Practice address
1815 E Ohio Pike
Amelia, OH 45102-2380
Phone
(513) 797-1260
Fax
(513) 797-1262
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP.003797-SCOHMDOptician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193400000X SINGLE SPECIALTY GROUP
156FX1800X OP.003797-SC OH Yes

Addresses

Primary practice location

1815 E Ohio Pike
Amelia, OH 45102-2380

Mailing address

1815 E Ohio Pike
Amelia, OH 45102-2380
Phone (513) 797-1260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2023.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1831893544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E OHIO PIKE",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451022380",
            "telephone_number": "513-797-1260",
            "fax_number": "513-797-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E OHIO PIKE",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451022380",
            "telephone_number": "513-797-1260",
            "fax_number": "513-797-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "OP.003797-SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

All providers in Amelia, OH · Optician in Ohio

Sources for this page

Verify at the official NPI Registry.