Individual provider Active NPI

Matthew J Schaedler, O.D.

  • Optometrist
  • West Chester, PA
National Provider Identifier
1063525780
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002689 Issued in PA
Practice address
915 Old Fern Hill Rd
Building B, Suite 200
West Chester, PA 19380-4269
Phone
(610) 696-1230
Fax
(610) 696-2341
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13-0001276 DE
Optometrist 152W00000X OEG002689 PA Primary

Addresses

Primary practice location

915 Old Fern Hill Rd
Building B, Suite 200
West Chester, PA 19380-4269

Mailing address

915 Old Fern Hill Rd
Building B, Suite 200
West Chester, PA 19380-4269
Phone (610) 696-1230

Other identifiers 6

IdentifierTypeStateIssuer
G00016OtherDEMEDICARE GROUP PIN
110998OtherDEEYEMED
11220816OtherDECAQH
161525705OtherDEBCBS
1000022556MedicaidDE
7383169OtherDEAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000671 DE Practitioner - Optometry 2668656190 Reassigns benefits to 1 organization
I20160526000898 PA Practitioner - Optometry 2668656190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

5301 Limestone Rd
Suite 128
Wilmington, DE 19808-1253
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-0001276DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Nov 1, 2017 Accepting new patients
Chester County Eye Care Assoc PC Optometrist CurrentSince May 16, 2016 Accepting new patients
Chester County Eye Care Associates, PC Optometrist CurrentSince May 16, 2016 Accepting new patients

Locations

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

2625 Concord Pike
Ste A
Wilmington, DE 19803

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

1011 W Baltimore Pike
Ste 203
West Grove, PA 19390
Phone (610) 696-1230

455 Woodview Rd
Ste 125
West Grove, PA 19390
Phone (610) 696-1230

Organizations & group practices 3

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1063525780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD",
            "address_2": "BUILDING B, SUITE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-696-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD",
            "address_2": "BUILDING B, SUITE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-696-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEDLER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "13-0001276",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "G00016",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "110998",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11220816",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "161525705",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000022556",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7383169",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.