Provider Demographics
NPI:1821158627
Name:STEPHEN A D SCHUSTER, M.D., P.A.
Entity Type:Organization
Organization Name:STEPHEN A D SCHUSTER, M.D., P.A.
Other - Org Name:SCHUSTER EYE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:BUISNESS OFFICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELODIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-533-3461
Mailing Address - Street 1:1700 CURIE DR STE 2100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2981
Mailing Address - Country:US
Mailing Address - Phone:915-533-3461
Mailing Address - Fax:915-544-3803
Practice Address - Street 1:1700 CURIE DR STE 2100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2981
Practice Address - Country:US
Practice Address - Phone:915-533-3461
Practice Address - Fax:915-544-3803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2587207W00000X
TXL8762207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP4926OtherNMMEDICAID
TXI16635Medicare UPIN
TX8G0861Medicare PIN
TXCN2670Medicare PIN
TX0040AXMedicare PIN
TX8C2629Medicare ID - Type Unspecified
TX84040BMedicare PIN
TXE20200Medicare UPIN
TXP00161139Medicare PIN