MEDICARE: DR. THOMAS ANDREW SCHULTZ O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2847	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	187058	OTHER	MA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	854	OTHER		DAVIS VISION
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	042726810	OTHER	MA	HEALTH NET FEDERAL SERVICES
4	22-00352	OTHER		UNITED HEALTHCARE
5	98036501	OTHER	MA	NETWORK HEALTH
6	W15462	OTHER		BC/BS
7	624064	OTHER		TRIGON BC/BS
8	725516	OTHER	MA	TUFTS HEALTH PLAN
9	110316	OTHER		EYEMED VISION CARE
10	150908	OTHER		HARVARD PILGRIM
11	16246	OTHER	MA	HEALTH NEW ENGLAND
13	6930	OTHER	MA	HEALTHNET
14	042726810	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
15	042726810	OTHER	MA	TRICARE NORTH
16	18716	OTHER		SPECTERA
17	742681	OTHER		CONNECTICARE INS CO

General Provider Information

NPI Number	:	1760446140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ANDREW SCHULTZ O.D.

Provider Business Mailing Address
First Line	:	40 E MAIN ST
Second Line	:	STE 5
City	:	WARE
State	:	MA
Zip	:	01082-1331
Country	:	US
Telephone Number	:	413-967-6681
Fax Number	:	413-967-4561

Provider Business Practice Location Address
First Line	:	40 E MAIN ST
Second Line	:	STE 5
City	:	WARE
State	:	MA
Zip	:	01082-1331
Country	:	US
Telephone Number	:	413-967-6681
Fax Number	:	413-967-4561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	08/30/2017

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