Active NPI
David L Schmolly, OD
- Optometrist
- New Castle, PA
National Provider Identifier
1043210487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0EG000930
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07040026 | Medicaid | PA | |
| 093567 | Other | HIGHMARK BC/BSHIELD | |
| 251234458 | Other | PA | TRICARE NORTH REGION |
| 313155 | Other | PA | UPMC HEALTH PLAN |
| 5140137 | Other | AETNA | |
| 50532 | Other | HEALTH 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0EG000930 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Care, Inc | Optometrist | Past | 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.
-
- Optometrist
- Bellevue, PA
- NPI 1992713184
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.