Provider Demographics
NPI:1992874986
Name:DR. STUART D. SCHATZ, OPTOMETRIST, P.A.
Entity type:Organization
Organization Name:DR. STUART D. SCHATZ, OPTOMETRIST, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHATZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-277-6100
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0734152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC3347OtherCAREFIRST DC GROUP NUMBER
MDX660COOtherCAREFIRST MARYLAND GROUP
MDX660COOtherCAREFIRST MARYLAND GROUP