Individual provider Active NPI

Richard Schilling, OD

  • Optometrist
  • Holmes, PA
National Provider Identifier
1013046127
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET008767 Issued in PA
Practice address
2179 Macdade Blvd
Holmes, PA 19043-1210
Phone
(610) 237-8555
Fax
(610) 237-8556
NPI assigned
Mar 5, 2007
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET008767 PA Primary

Addresses

Primary practice location

2179 Macdade Blvd
Holmes, PA 19043-1210

Mailing address

2179 Macdade Blvd
Holmes, PA 19043-1210
Phone (610) 237-8555

Other identifiers 1

IdentifierTypeStateIssuer
00932765MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20050831000577 PA Practitioner - Optometry 7315979267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2179 Macdade Blvd
Holmes, PA 19043-1210
Phone (610) 237-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delco Family Vision Center Inc. Optometrist CurrentSince Dec 14, 1982 Accepting new patients

Locations

2179 Macdade Blvd
Holmes, PA 19043
Phone (610) 237-8555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1013046127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 MACDADE BLVD",
            "city": "HOLMES",
            "state": "PA",
            "postal_code": "190431210",
            "telephone_number": "610-237-8555",
            "fax_number": "610-237-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 MACDADE BLVD",
            "city": "HOLMES",
            "state": "PA",
            "postal_code": "190431210",
            "telephone_number": "610-237-8555",
            "fax_number": "610-237-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00932765",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmes, PA

Sources for this page

Verify at the official NPI Registry.