Provider Demographics
NPI:1730134867
Name:SCHWARTZ, JAY LAWRENCE (DO)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:LAWRENCE
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8416 E SHEA BLVD
Mailing Address - Street 2:STE C-101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-483-3937
Mailing Address - Fax:480-483-8813
Practice Address - Street 1:8416 E SHEA BLVD
Practice Address - Street 2:STE C-101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-483-3937
Practice Address - Fax:480-483-8813
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ3208207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5333621OtherAETNA
AZ0839870OtherBCBS
122355OtherHEALTHNET
AZ382755Medicaid
AZ382755Medicaid
10043Medicare ID - Type Unspecified