Provider Demographics
NPI:1659407591
Name:SCHEIFLA, JAMES P I (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:SCHEIFLA
Suffix:I
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EAGLE TER
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-2532
Mailing Address - Country:US
Mailing Address - Phone:716-684-4067
Mailing Address - Fax:
Practice Address - Street 1:10 EAGLE TER
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-2532
Practice Address - Country:US
Practice Address - Phone:716-684-4067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5077-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4146250001Medicare UPIN