Provider Demographics
NPI:1750453205
Name:SCHOFIELD, JAMES III (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SCHOFIELD
Suffix:III
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 1:12 HIGH POINT TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-3018
Mailing Address - Country:US
Mailing Address - Phone:585-425-3271
Mailing Address - Fax:
Practice Address - Street 1:360 CEDARWOOD OFFICE PARK
Practice Address - Street 2:6800 PITTSFORD-PALYMRA ROAD
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450
Practice Address - Country:US
Practice Address - Phone:585-223-8480
Practice Address - Fax:585-223-8491
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC003560-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPO17533459OtherEXCELLUS- EYEWEAR
NY106234CTOtherPREFERRED CARE - EYEWEAR
NYPO17533459OtherEXCELLUS- EYEWEAR