Organization Active NPI

Schroeck Optical Fashions

  • Optician
  • Erie, PA
National Provider Identifier
1194787259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
SCHROECK OPTICAL FASHIONS
Practice address
3424 Peach St
Erie, PA 16508-2740
Phone
(814) 864-3039
Fax
(814) 864-3030
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas J Schroeck
Title
President/Owner
Phone
81482643039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X PA Primary

Addresses

Primary practice location

3424 Peach St
Erie, PA 16508-2740

Mailing address

3424 Peach St
Erie, PA 16508-2740
Phone (814) 864-3039

Other identifiers 1

IdentifierTypeStateIssuer
SC285340OtherPABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3424 Peach St
Erie, PA 16508
Phone (814) 864-3039

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194787259",
    "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": {
        "organization_name": "SCHROECK OPTICAL FASHIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHROECK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "81482643039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "SC285340",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.