Individual provider Active NPI

Walter Ernest Schlabach, O.D.

  • Optometrist
  • Harrisonburg, VA
National Provider Identifier
1871590455
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0595 Issued in VA
Practice address
243 Neff Ave
Ste V
Harrisonburg, VA 22801-3486
Phone
(540) 433-1339
Fax
(540) 433-1339
NPI assigned
Jun 28, 2005
Last updated
May 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0595 VA Primary

Addresses

Primary practice location

243 Neff Ave
Ste V
Harrisonburg, VA 22801-3486

Mailing address

243 Neff Ave
Ste V
Harrisonburg, VA 22801-3486
Phone (540) 433-1339

Other identifiers 2

IdentifierTypeStateIssuer
15218C24100285OtherVADCN
9202463MedicaidVA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0595VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1871590455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NEFF AVE",
            "address_2": "STE V",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013486",
            "telephone_number": "540-433-1339",
            "fax_number": "540-433-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NEFF AVE",
            "address_2": "STE V",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013486",
            "telephone_number": "540-433-1339",
            "fax_number": "540-433-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLABACH",
        "first_name": "WALTER",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCN",
            "identifier": "15218C24100285",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202463",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.