Individual provider Active NPI

Jason Lewis Schwartz, O.D.

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1982600078
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3170 Issued in FL
Practice address
1378 SE 17TH St
Ft Lauderdale, FL 33316-1708
Phone
(954) 467-6227
Fax
(954) 779-7354
NPI assigned
Jun 23, 2005
Last updated
Jul 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3170 FL Primary

Addresses

Primary practice location

1378 SE 17TH St
Ft Lauderdale, FL 33316-1708

Mailing address

1378 SE 17TH St
Ft Lauderdale, FL 33316-1708
Phone (954) 467-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040107000044 FL Practitioner - Optometry 5597664839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1378 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone (954) 467-6227

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schwartz Eye Associates, PA Optometrist CurrentSince Dec 19, 2000 Accepting new patients

Locations

1378 SE 17th St
Ft Lauderdale, FL 33316
Phone (954) 467-6227

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1982600078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161708",
            "telephone_number": "954-467-6227",
            "fax_number": "954-779-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161708",
            "telephone_number": "954-467-6227",
            "fax_number": "954-779-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JASON",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.