Individual provider Active NPI

David L Schmolly, OD

  • Optometrist
  • New Castle, PA
National Provider Identifier
1043210487
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0EG000930 Issued in PA
Practice address
537 Mount Jackson Rd
New Castle, PA 16102-2619
Phone
(724) 667-2020
Fax
(724) 667-9201
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0EG000930 PA Primary

Addresses

Primary practice location

537 Mount Jackson Rd
New Castle, PA 16102-2619

Mailing address

537 Mount Jackson Rd
New Castle, PA 16102-2619
Phone (724) 667-2020

Other identifiers 6

IdentifierTypeStateIssuer
07040026MedicaidPA
093567OtherHIGHMARK BC/BSHIELD
251234458OtherPATRICARE NORTH REGION
313155OtherPAUPMC HEALTH PLAN
5140137OtherAETNA
50532OtherHEALTH AMERICA/HEALTH ASS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0EG000930PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Care, Inc Optometrist PastSince Jul 5, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1043210487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 MOUNT JACKSON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161022619",
            "telephone_number": "724-667-2020",
            "fax_number": "724-667-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 MOUNT JACKSON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161022619",
            "telephone_number": "724-667-2020",
            "fax_number": "724-667-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMOLLY",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG000930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07040026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BSHIELD",
            "identifier": "093567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH REGION",
            "identifier": "251234458",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "313155",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5140137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASS",
            "identifier": "50532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.