Individual
JARRYD SCHIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011
Mailing address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8168TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E41Y
GROUP PIN
TX
01
—
1234530001
DMERC
TX
01
—
1902247141
NPI
—
01
—
1902852346
GROUP NPI
TX
01
—
702009001
DPS
TX
01
—
752711435
GROUP TAX ID
TX
01
—
8168TG
STATE LICENSE
TX
01
—
84097Q
BCBS OF TEXAS
TX
Enumeration date
07/16/2013
Last updated
03/07/2023
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