Active NPI
Joseph Anthony Schneiderhan, O.D.
- Optometrist
- Glenwood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2417
- Practice address
- 16 Minnesota Ave W Ste 102
Glenwood, MN 56334-1558 - Phone
- (320) 334-3264
- Fax
- (320) 334-3182
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Starbuck, MN
- NPI 1063952026
-
- Home Health Agency
- Glenwood, MN
- NPI 1922017052
-
- Community Based Hospice Care Agency
- Glenwood, MN
- NPI 1134134877
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
-
- Family Medicine Physician
- Glenwood, MN
- NPI 1649285172
-
- Medicare Defined Swing Bed Hospital Unit
- Glenwood, MN
- NPI 1649319146
-
- Optometrist
- Alexandria, MN
- NPI 1528066651
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glacial Ridge Hospital District
Practice addresses (Care Compare)
10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819000753 | MN | Practitioner - Optometry | 3870566540 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2417 | MN | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Past | Accepting new patients | |
| Lake Region Eye Center | Optometrist | Past | Accepting new patients |
Locations
16 Minnesota Ave W
Ste 102
Glenwood, MN 56334
Phone (320) 334-3264
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2417 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
16 Minnesota Ave W Ste 102
Glenwood, MN 56334-1558
Mailing address
16 Minnesota Ave W Ste 102
Glenwood, MN 56334-1558
Phone (320) 334-3264
Other practice location 1
501 Highway 10 SE
Saint Cloud, MN 56304-1250
Phone (320) 253-4695
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597816500 | Medicaid | MN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003859786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MINNESOTA AVE W STE 102",
"city": "GLENWOOD",
"state": "MN",
"postal_code": "563341558",
"telephone_number": "320-334-3264",
"fax_number": "320-334-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MINNESOTA AVE W STE 102",
"city": "GLENWOOD",
"state": "MN",
"postal_code": "563341558",
"telephone_number": "320-334-3264",
"fax_number": "320-334-3182"
}
],
"practiceLocations": [
{
"address_1": "501 Highway 10 SE",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563041250",
"country_code": "US",
"telephone_number": "320-253-4695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNEIDERHAN",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "597816500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.