Gary John Schulz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1727T Issued in OR

Practice address

1265 Jantzen Beach Ctr
Portland, OR 97217-7852

Phone

(503) 289-7331

Fax

(503) 289-0854

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  • NPI 1972175735
  NPD
• Lena Barghouti-Afranji & Associates Professional Corp

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  • Vancouver, WA
  • NPI 1184752198
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962533570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13638 SW BENCHVIEW PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972231734",
            "telephone_number": "503-590-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 JANTZEN BEACH CTR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177852",
            "telephone_number": "503-289-7331",
            "fax_number": "503-289-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1727T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP NUMBER",
            "identifier": "078928",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terra Lang Schultz, RN
• Zachary Schultz
• Serena Marie Schulz-Rodriguez, LMT
• Alison Mae Schulz, ND
• Catherine Schulz, MA, NCC
• Rachel Schulz, RDH
• Briana Schulzetenberg, PA
• Ashley Schumacher, ANP
• Caroline Louise Schumacher
• Donald Robert Schumacher, R.PH

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.