Individual provider Active NPI

Richard J. Schamerloh, O.D.

  • Optometrist
  • Bluffton, IN
National Provider Identifier
1063409969
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002596A Issued in IN
Practice address
980 N Main St
Bluffton, IN 46714-1316
Phone
(260) 824-2020
Fax
(260) 824-4121
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002596A IN Primary

Addresses

Primary practice location

980 N Main St
Bluffton, IN 46714-1316

Mailing address

980 N Main St
Bluffton, IN 46714-1316
Phone (260) 824-2020

Other identifiers 3

IdentifierTypeStateIssuer
000OtherINDAVIS VISION
000000084322OtherINANTHEM BCBS
0356760001OtherINDMERC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050602000392 IN Practitioner - Optometry 3173565058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of Bluffton, LLPGroup PAC ID 0749222628, 4 clinicians

Practice addresses (Care Compare)

980 N Main St
Bluffton, IN 46714-1316
Phone (260) 824-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002596AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Bluffton, LLP Optometrist CurrentSince Jul 1, 2005 Accepting new patients

Locations

980 N Main St
Bluffton, IN 46714
Phone (219) 824-2632

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ocuco_eyecareassociatesofbluffton

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1063409969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141316",
            "telephone_number": "260-824-2020",
            "fax_number": "260-824-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141316",
            "telephone_number": "260-824-2020",
            "fax_number": "260-824-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAMERLOH",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002596A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000084322",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0356760001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.