Traci A. Schaum, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002245B Issued in IN

Practice address

6614 Logan Dr
Evansville
Evansville, IN 47715-8236

Phone

(812) 477-6700

Fax

(812) 477-2152

NPI assigned

Dec 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Traci A. Roll Professional name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care Kentucky LLCGroup PAC ID 3577975291, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• KY PPO
• KY PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1396396750

  IN

  Medicare reassignment Care Compare group NPD
• First Impressions Optometric Associates, LLC

  • Optometrist
  • Bloomington, IN
  • NPI 1083366363
  Medicare reassignment NPD
• Ohio Valley Eye Institute P C

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1407809031

  Optometrist

  Medicare reassignment NPD
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Highland, IN
  • NPI 1942960539

  Optometrist

  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003978941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 LOGAN DR",
            "address_2": "EVANSVILLE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158236",
            "telephone_number": "812-477-6700",
            "fax_number": "812-477-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 LOGAN DR",
            "address_2": "EVANSVILLE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158236",
            "telephone_number": "812-477-6700",
            "fax_number": "812-477-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUM",
        "first_name": "TRACI",
        "middle_name": "A.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002245B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "ROLL",
            "middle_name": "A.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christine Schaffer, DO
• Hannah Elizabeth Schamburg, PMHNP
• Angela Lydia Schapker, ACNP-BC
• Anthony Schapker, M.D.
• Austin Louis Schapker, DPT
• Michael Earl Scheinost, DO
• Timothy Scheirer, DPT
• Sara E Schelhorn, RN
• Noah Christopher Scheller
• Madalyn Jo Schenk, OTR

• Optometrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.