Individual provider Active NPI

Lucas William Schmidt, OD

  • Optometrist
  • Stillwater, MN
National Provider Identifier
1154947455
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3688 Issued in MN
Practice address
2950 Curve Crest Blvd, Stillwater
Stillwater, MN 55082
Phone
(920) 838-4022
NPI assigned
Jun 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3688 MN Primary

Addresses

Primary practice location

2950 Curve Crest Blvd, Stillwater
Stillwater, MN 55082

Mailing address

175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone (406) 257-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20220613000946 MT Practitioner - Optometry 2062835929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Eye Clinic PCGroup PAC ID 5193728293, 12 clinicians

Practice addresses (Care Compare)

175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone (406) 257-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3688MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Eye Clinic PC Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

175 Timberwolf Pkwy
Kalispell, MT 59901
Phone (406) 257-2020

Interoperability endpoints

  • Direct secure messaging: lschmidt@glaciereye.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1154947455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TIMBERWOLF PKWY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011218",
            "telephone_number": "406-257-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD, STILLWATER",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "920-838-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "LUCAS",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.