Individual provider Active NPI

Jarryd Schieffer, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1902247141
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8168TG Issued in TX
Practice address
7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone
(972) 712-1010
Fax
(972) 712-1011
NPI assigned
Jul 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8168TG TX Primary

Addresses

Primary practice location

7638 Stonebrook Pkwy
Frisco, TX 75034-1003

Mailing address

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

Other identifiers 8

IdentifierTypeStateIssuer
84097QOtherTXBCBS OF TEXAS
8168TGOtherTXSTATE LICENSE
752711435OtherTXGROUP TAX ID
00E41YOtherTXGROUP PIN
1234530001OtherTXDMERC
1902247141OtherNPI
1902852346OtherTXGROUP NPI
702009001OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20190711000359 NE Practitioner - Optometry 2365686409 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8168TXMDChiropractor
8168TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Eye Care PC Optometrist CurrentSince Jun 26, 2023 Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Focused Eye Care Past Accepting new patients

Locations

3610 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8230

7827 Dodge St
Omaha, NE 68114
Phone (402) 390-2000

Organizations & group practices 4

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902247141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEFFER",
        "first_name": "JARRYD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8168TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "84097Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8168TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "752711435",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "00E41Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1234530001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902247141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1902852346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "702009001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.