Individual provider Active NPI

Laura B Schillig, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1972685832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1331 Issued in AZ
Practice address
5870 E Broadway Blvd
Suite 302
Tucson, AZ 85711-3914
Phone
(520) 745-0770
Fax
(520) 745-2392
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1331 AZ Primary
Optometrist 152W00000X 5415 OH

Addresses

Primary practice location

5870 E Broadway Blvd
Suite 302
Tucson, AZ 85711-3914

Mailing address

8158 S Sunny Horizon PL
Tucson, AZ 85747-5522
Phone (520) 207-8906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080214000102 AZ Practitioner - Optometry 5395644629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

13125 N la Montana Dr
Suite 1
Fountain Hills, AZ 85268-3781
Phone (480) 816-0102

230 W Continental Rd
Suite 408
Green Valley, AZ 85622-3591
Phone (520) 625-5657

6615 N Oracle Rd
Tucson, AZ 85704-5644
Phone (520) 797-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1331AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Dec 14, 2019 Accepting new patients
Ohio Optometric Consultants Inc Optometrist Past Accepting new patients
DRS Kosunick & Scott Inc Optometrist Past Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

230 W Continental Rd
Green Valley, AZ 85622
Phone (520) 625-5657

230 W Continental Rd
Ste 408
Green Valley, AZ 85622
Phone (520) 327-2020

6987 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-2501

2820 N Campbell Ave
Tucson, AZ 85719
Phone (520) 323-3937

7125 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 296-4157

4777 E Sunrise Dr
Ste 108
Tucson, AZ 85718

440 N Alvernon Way
Tucson, AZ 85711
Phone (520) 327-6211

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972685832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8158 S SUNNY HORIZON PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475522",
            "telephone_number": "520-207-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 E BROADWAY BLVD",
            "address_2": "SUITE 302",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113914",
            "telephone_number": "520-745-0770",
            "fax_number": "520-745-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLIG",
        "first_name": "LAURA",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1331",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.