Provider Demographics
NPI:1902247141
Name:SCHIEFFER, JARRYD (OD)
Entity type:Individual
Prefix:
First Name:JARRYD
Middle Name:
Last Name:SCHIEFFER
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 1:7638 STONEBROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1003
Mailing Address - Country:US
Mailing Address - Phone:972-712-1010
Mailing Address - Fax:972-712-1011
Practice Address - Street 1:7638 STONEBROOK PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1003
Practice Address - Country:US
Practice Address - Phone:972-712-1010
Practice Address - Fax:972-712-1011
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8168TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84097QOtherBCBS OF TEXAS
TX8168TGOtherSTATE LICENSE
TX752711435OtherGROUP TAX ID
TX00E41YOtherGROUP PIN
TX1234530001OtherDMERC
1902247141OtherNPI
TX1902852346OtherGROUP NPI
TX702009001OtherDPS
TX702009001OtherDPS
TX8168TGOtherSTATE LICENSE
TX00E41YOtherGROUP PIN