Individual provider Active NPI

Rebecca Lynn Schoonover, O.D.

  • Optometrist
  • Peckville, PA
National Provider Identifier
1083688501
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001610 Issued in PA
Practice address
240 Main St
Peckville, PA 18452-2438
Phone
(570) 489-8733
Fax
(570) 489-8702
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001610 PA Primary
Optometrist 152W00000X OPC4057 FL

Addresses

Primary practice location

240 Main St
Peckville, PA 18452-2438

Mailing address

240 Main St
Peckville, PA 18452-2438
Phone (570) 489-8733

Other identifiers 1

IdentifierTypeStateIssuer
1780852434OtherPANPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050301000890 PA Practitioner - Optometry 6507819695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schoonover Eye Care, P.C.Group PAC ID 0840375598, 2 clinicians
Samuel Ganz MD PLLCGroup PAC ID 8820521248, 3 clinicians

Practice addresses (Care Compare)

240 Main St
Apt 1
Peckville, PA 18452-2438
Phone (570) 489-8733

500 W Hospital St
Taylor, PA 18517-2012
Phone (570) 562-2102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4057FLMDOptometrist
OEG001610PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Ganz MD PLLC CurrentSince Aug 29, 2025 Accepting new patients
Schoonover Eye Care, P.C. Optometrist CurrentSince Feb 14, 2005 Accepting new patients

Locations

500 W Hospital St
Taylor, PA 18517
Phone (570) 483-8450

Organizations & group practices 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1083688501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522438",
            "telephone_number": "570-489-8733",
            "fax_number": "570-489-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522438",
            "telephone_number": "570-489-8733",
            "fax_number": "570-489-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001610",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1780852434",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peckville, PA

Sources for this page

Verify at the official NPI Registry.