Individual provider Active NPI

William Edwin Schemmel, O.D.

  • Optometrist
  • Sidney, OH
National Provider Identifier
1063419935
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4385/T291 Issued in OH
Practice address
915 Michigan St
Sidney, OH 45365-2401
Phone
(937) 492-8040
Fax
(937) 492-7447
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4385/T291 OH Primary

Addresses

Primary practice location

915 Michigan St
Sidney, OH 45365-2401

Mailing address

915 Michigan St Ste 101
Sidney, OH 45365-2401
Phone (937) 492-8040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wschemmel@ohvision.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040510000909 OH Practitioner - Optometry 4385633858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care and Surgery Assoc., Inc.Group PAC ID 6507855145, 3 clinicians

Practice addresses (Care Compare)

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 492-8040

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4385/T291OHMDOptometrist
4385OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care & Surgery Assoc., Inc. CurrentSince Apr 1, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
John T Archer & Assoc Inc Optometrist Past Accepting new patients
JTDM Family Practice LLC Past Accepting new patients

Locations

715 Rush Ave
Bellefontaine, OH 43311
Phone (937) 593-3937

801 Pro Dr
Celina, OH 45822
Phone (419) 586-6489

915 Michigan St
Ste 101
Sidney, OH 45365
Phone (937) 492-8040

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

31 S Stanfield Rd
Ste 202
Troy, OH 45373
Phone (800) 492-8040

1935 Prime Ct
Troy, OH 45373

Organizations & group practices 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1063419935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST STE 101",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-492-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-492-8040",
            "fax_number": "937-492-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEMMEL",
        "first_name": "WILLIAM",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4385/T291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wschemmel@ohvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "915 Michigan St",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453652401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.