Provider Demographics
NPI:1336218312
Name:SCHATZ, STUART D (OD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:D
Last Name:SCHATZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 BALTIMORE AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3232
Mailing Address - Country:US
Mailing Address - Phone:301-277-6100
Mailing Address - Fax:301-277-4005
Practice Address - Street 1:7305 BALTIMORE AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3232
Practice Address - Country:US
Practice Address - Phone:301-277-6100
Practice Address - Fax:301-277-4005
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0734152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0001OtherCAREFIRST DC PIN NUMBER
MD399485-01OtherCAREFIRST MARYLAND NUMBER
DC0001OtherCAREFIRST DC PIN NUMBER
MD399485-01OtherCAREFIRST MARYLAND NUMBER