Tracy M Schroeck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000078 Issued in PA

Practice address

3424 Peach St
Erie, PA 16508-2740

Phone

(814) 864-3039

Fax

(814) 864-3030

NPI assigned

Sep 1, 2005

Last updated

Dec 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in 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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Izbicki Family Medicine PC

  • Family Medicine Physician
  • Erie, PA
  • NPI 1346579331
  NPD (past)
• Schroeck Optical Fashions

  • Optician
  • Erie, PA
  • NPI 1194787259
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1144214453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082740",
            "telephone_number": "814-864-3039",
            "fax_number": "814-864-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082740",
            "telephone_number": "814-864-3039",
            "fax_number": "814-864-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROECK",
        "first_name": "TRACY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Schrimper
• Lisa Schroder, BSL
• Schroeck Optical Fashions
• Alex John Schroeck, PA-C
• Kathleen Gardner Schroeck, CRNP
• Susan K. Schroeder, CRNA
• Christina Schuler, PHARMD
• Jordan Renee Schuler, M.A., CCC-SLP
• Emily Schultz, PA-C
• Jennifer Schultz

• Optometrist in Erie, PA
• Providers in Erie, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.