Provider Demographics
NPI:1467498790
Name:SCHAPER, MARK FRANK (OD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANK
Last Name:SCHAPER
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 1:2900 WEST ANDERSON LANE
Mailing Address - Street 2:SUITE G
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1160
Mailing Address - Country:US
Mailing Address - Phone:512-451-6586
Mailing Address - Fax:512-451-1605
Practice Address - Street 1:2900 WEST ANDERSON LANE
Practice Address - Street 2:SUITE G
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1160
Practice Address - Country:US
Practice Address - Phone:512-451-6586
Practice Address - Fax:512-451-1605
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2438T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124836-01Medicaid
TX80093EMedicare PIN
TX1124836-01Medicaid