Individual provider Active NPI

Scott David Schneid, O.D.

  • Optometrist
  • Sparta, IL
National Provider Identifier
1174636088
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008810 Issued in IL
Practice address
1410 N Market St
Sparta, IL 62286-2302
Phone
(618) 443-4373
Fax
(618) 443-2682
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 046-008810 IL Primary

Addresses

Primary practice location

1410 N Market St
Sparta, IL 62286-2302

Mailing address

100 S James St
Sparta, IL 62286-1258
Phone (618) 443-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160819001915 MO Practitioner - Optometry 9133414873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heffingtons House of Vision IncGroup PAC ID 3072802099, 3 clinicians

Practice addresses (Care Compare)

1350 E Woodhurst Dr
Springfield, MO 65804-4281
Phone (417) 882-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008810ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heffington Optical Company Inc Optometrist CurrentSince Jul 11, 2016 Accepting new patients
Heffington'S House of Vision Inc Optometrist CurrentSince Jul 11, 2016 Accepting new patients

Locations

1350 E Woodhurst Dr
Springfield, MO 65804
Phone (417) 882-3937

640 W Chestnut St
Springfield, MO 65806
Phone (417) 869-3937

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174636088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JAMES ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861258",
            "telephone_number": "618-443-6330",
            "fax_number": "618-443-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N MARKET ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622862302",
            "telephone_number": "618-443-4373",
            "fax_number": "618-443-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEID",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, IL

Sources for this page

Verify at the official NPI Registry.