Dale Schnibbe, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001677 Issued in WA

Practice address

12121 E Broadway Ave Ste 1
Spokane Valley, WA 99206-4972

Phone

(509) 928-1212

Fax

(509) 924-5035

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• James C Wavra

  • Optometrist
  • Spokane, WA
  • NPI 1841205630
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1003882226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY AVE STE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064972",
            "telephone_number": "509-928-1212",
            "fax_number": "509-924-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY AVE STE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064972",
            "telephone_number": "509-928-1212",
            "fax_number": "509-924-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNIBBE",
        "first_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DG8772",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20022368",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410006929",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "DG8772",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen M Schmidt, MD
• Rennae Schmidt, LMP
• Annmarie Schmitz, LMP
• Miguel A Schmitz, MD
• Jesse Alan Schneider, D.O.
• Michael Schnieder, RN
• Kayley Schoentrup
• Heidi Schoonover
• Tammera Schrader, CDP
• Stephen Schrater

• Optometrist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.