Individual provider Active NPI

Haley Schofield, COA

  • Ophthalmic Assistant
  • Tucker, GA
National Provider Identifier
1982470324
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic AssistantTaxonomy code 156FX1101X
License
320982 Issued in GA
Practice address
1462 Montreal Rd Ste 412
Tucker, GA 30084-6932
Phone
(404) 299-5209
Fax
(404) 296-7415
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Assistant 156FX1101X 320982 GA Primary

Addresses

Primary practice location

1462 Montreal Rd Ste 412
Tucker, GA 30084-6932

Mailing address

2500 Pleasant Hill Rd Apt 324
Duluth, GA 30096-4164
Phone (781) 771-9475

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
320982GAMDOphthalmic Assistant

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1982470324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT HILL RD APT 324",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964164",
            "telephone_number": "781-771-9475",
            "fax_number": "404-296-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD STE 412",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846932",
            "telephone_number": "404-299-5209",
            "fax_number": "404-296-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOFIELD",
        "first_name": "HALEY",
        "credential": "COA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1101X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "GA",
            "license": "320982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.