Healthcare Provider Details

I. General information

NPI: 1952221103
Provider Name (Legal Business Name): PAIGE NICOLE SCHAFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE NICOLE WEBSTER OD

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E WASHINGTON ST
NEWTON IL
62448-1533
US

IV. Provider business mailing address

201 E WASHINGTON ST
NEWTON IL
62448-1533
US

V. Phone/Fax

Practice location:
  • Phone: 618-554-3090
  • Fax:
Mailing address:
  • Phone: 618-554-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046.012121
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: