Active NPI
Scott David Schneid, O.D.
- Optometrist
- Sparta, IL
National Provider Identifier
1174636088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-008810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Practice addresses (Care Compare)
1350 E Woodhurst Dr
Springfield, MO 65804-4281
Phone (417) 882-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008810 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heffington Optical Company Inc | Optometrist | Current | Accepting new patients |
| Heffington'S House of Vision Inc | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.