Duane Michael Schrock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S741TA186 Issued in AL

Practice address

118 Lottie LN
Fairhope, AL 36532-2995

Phone

(251) 928-4076

Fax

(251) 928-9461

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Eye Care, PCGroup PAC ID 7113944901, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eastern Shore Eye Care, PC

  • Optometrist
  • Fairhope, AL
  • NPI 1932294386
  Medicare reassignment Care Compare group NPD Authorized official
• University of South Alabama Health Services Foundation

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1548357916
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1114013166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LOTTIE LN",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322995",
            "telephone_number": "251-928-4076",
            "fax_number": "251-928-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LOTTIE LN",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322995",
            "telephone_number": "251-928-4076",
            "fax_number": "251-928-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "DUANE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S741TA186",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051500009",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Jameson Savage IV, MD
• Saxon Family Chiropractic
• Robert Jeffrey Saxon II, D.C.
• Colton Brance Schepper, DPT
• Wanda Carol Schoen
• Benjamin Powell Schrubbe, MD
• Chelsea Elizabeth Seitz
• Self and Self Company, LLC
• Self Center PC
• Karl Stanley Self, M.D.

• Optometrist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.