Individual provider Active NPI

Brent David Schmidlap, O.D.

  • Optometrist
  • Rockwall, TX
National Provider Identifier
1093738247
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5950T Issued in TX
Practice address
2931 Ridge Rd Ste 109
Rockwall, TX 75032-6668
Phone
(972) 772-2644
NPI assigned
Jul 26, 2006
Last updated
Jul 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5950T TX Primary

Addresses

Primary practice location

2931 Ridge Rd Ste 109
Rockwall, TX 75032-6668

Mailing address

2931 Ridge Rd Ste 109
Rockwall, TX 75032-6668
Phone (972) 772-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091022000541 TX Practitioner - Optometry 0345387494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2931 Ridge Rd
Suite 109
Rockwall, TX 75032-6668
Phone (972) 772-2644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5950TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwall Precision Eyecare PLLC Optometrist CurrentSince Oct 8, 2009 Accepting new patients

Locations

2931 Ridge Rd
Ste 109
Rockwall, TX 75032
Phone (972) 772-2644

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1093738247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 RIDGE RD STE 109",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326668",
            "telephone_number": "972-772-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 RIDGE RD STE 109",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326668",
            "telephone_number": "972-772-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDLAP",
        "first_name": "BRENT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5950T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.