Individual provider Active NPI

Justin M Schulte, OD

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1083693337
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02267 Issued in IA
Practice address
6200 Westown Pkwy
West Des Moines, IA 50266-7705
Phone
(515) 327-6100
Fax
(515) 223-5468
NPI assigned
Jan 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02267 IA Primary

Addresses

Primary practice location

6200 Westown Pkwy
West Des Moines, IA 50266-7705

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20081124000764 IA Practitioner - Optometry 3779643572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Eye Care PCGroup PAC ID 6406100684, 4 clinicians

Practice addresses (Care Compare)

1155 SE Alices Rd
Waukee, IA 50263-9669
Phone (515) 264-2445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02267IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Clinic Inc CurrentSince Jul 11, 2003 Accepting new patients
Focus Eye Care PC Optometrist CurrentSince Apr 1, 2026 Accepting new patients

Locations

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

1155 SE Alices Rd
Waukee, IA 50263
Phone (515) 264-2445

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

Interoperability endpoints

  • Direct secure messaging: jschulte@wolfe.intellechartdirect.net

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": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1083693337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6262",
            "fax_number": "641-752-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667705",
            "telephone_number": "515-327-6100",
            "fax_number": "515-223-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.