Provider Demographics
NPI:1679742225
Name:JAMES M. SCHAEFER, O.D.
Entity Type:Organization
Organization Name:JAMES M. SCHAEFER, O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DUSTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-772-1105
Mailing Address - Street 1:217 DELANO AVE STE D
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2276
Mailing Address - Country:US
Mailing Address - Phone:740-772-1105
Mailing Address - Fax:740-772-1105
Practice Address - Street 1:217 DELANO AVE STE D
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2276
Practice Address - Country:US
Practice Address - Phone:740-772-1105
Practice Address - Fax:740-772-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3000T636152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOH3000OtherEYEMED
OH0244711Medicaid
OH57818OtherDAVIS VISION
OHJS46590OtherSPECTERA
OH0244711OtherMOLINA
OH298468047004OtherMEDICAL MUTUAL
OH000000525319OtherBLUE CROSS BLUE SHIELD
OH0005255084OtherAETNA
OHT46695Medicare UPIN
OH5966270001Medicare NSC
OHJS46590OtherSPECTERA
OH298468047004OtherMEDICAL MUTUAL