Provider Demographics
NPI:1104038611
Name:DR DANIEL SCHEG OPTOMETRIST
Entity Type:Organization
Organization Name:DR DANIEL SCHEG OPTOMETRIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHEG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:585-392-6610
Mailing Address - Street 1:50 EAST AVENUE
Mailing Address - Street 2:
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468
Mailing Address - Country:US
Mailing Address - Phone:585-392-6610
Mailing Address - Fax:585-392-8196
Practice Address - Street 1:50 EAST AVENUE
Practice Address - Street 2:
Practice Address - City:HILTON
Practice Address - State:NY
Practice Address - Zip Code:14468
Practice Address - Country:US
Practice Address - Phone:585-392-6610
Practice Address - Fax:585-392-8196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X
NYTUV0034841332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00454760Medicaid
NY15066BMedicare PIN
NY15066AMedicare PIN
NY00454760Medicaid
NYT26128Medicare UPIN