Organization
JEFFREY E. SCHULTZ, O.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E. SCHULTZ O.D. (PRESIDENT)
(216) 581-8484
Entity
Organization
Contact information
Practice address
6060 ROCKSIDE WOODS BLVD N, SUITE 110, INDEPENDENCE, OH 44131-7303
(216) 581-8484
(216) 662-5445
Mailing address
6060 ROCKSIDE WOODS BLVD N, SUITE 110, INDEPENDENCE, OH 44131-7303
(216) 581-8484
(216) 662-5445
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3416T157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277123
—
OH
01
—
0348410001
ADMINISTAR FEDERAL ID
OH
01
—
0413561
RENDERING ID#
OH
01
—
1437153129
INDIVIDUAL NPI NUMBER
OH
01
—
9270432
OHIO-MEDICARE P10 NUMBER
OH
Enumeration date
11/19/2007
Last updated
08/17/2018
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