Beth L Schultz, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000770 Issued in PA

Practice address

6201 South Fwy
Fort Worth, TX 76134-2001

Phone

(817) 568-6143

Fax

(817) 551-4630

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1922011261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9803 HICKORY HOLLOW LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635044",
            "telephone_number": "214-578-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761342001",
            "telephone_number": "817-568-6143",
            "fax_number": "817-551-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "BETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1646973",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2248",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "2323907000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Rather Schubert, M.D.
• Ashley Nicole Schuette
• Nathaniel Aaron Schug
• Schulenburg Nursing Operations, LLC
• Sara Fernandez Schultis, MD
• Jena Lynn Schultz, PT, DPT
• Joseph Schultz, M.D.
• Karen D Schultz, MD
• Mariah Schultz, OT
• Steven Mark Schultz, MD

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.