Active NPI
Schmidt Eyecare, LLC
- Optometrist
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3401AT
- Legal business name
- SCHMIDT EYECARE, LLC
- Practice address
- 333 S State St Ste T
Lake Oswego, OR 97034-3948 - Phone
- (503) 636-2762
- NPI assigned
- Mar 17, 2015
- Last updated
- Mar 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Ann Schmidt, OD
- Title
- Optometrist/Owner
- Phone
- (503) 636-2762
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3401AT | OR | Primary |
Addresses
Primary practice location
333 S State St Ste T
Lake Oswego, OR 97034-3948
Mailing address
333 S State St Ste T
Lake Oswego, OR 97034-3948
Phone (503) 636-2762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Schmidt Eyecare LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
333 S State St
Ste T
Lake Oswego, OR 97034
Phone (503) 636-2762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Lake Oswego, OR
- NPI 1861780785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1174916910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S STATE ST STE T",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343948",
"telephone_number": "503-636-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S STATE ST STE T",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343948",
"telephone_number": "503-636-2762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHMIDT EYECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-17",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "503-636-2762",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3401AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.