Individual provider Active NPI

Douglas James Schumer, M.D.

  • Corneal and Contact Management Optometrist
  • Mansfield, OH
National Provider Identifier
1205838943
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
35067416S Issued in OH
Practice address
240 W Cook Rd
Mansfield, OH 44907-2451
Phone
(419) 525-3737
Fax
(419) 525-3740
NPI assigned
Aug 12, 2005
Last updated
Apr 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 35067416S OH Primary

Addresses

Primary practice location

240 W Cook Rd
Mansfield, OH 44907-2451

Mailing address

240 W Cook Rd
Mansfield, OH 44907-2451
Phone (419) 525-3737

Other identifiers 1

IdentifierTypeStateIssuer
0124449MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000564 OH Practitioner - Ophthalmology 6608851738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Toledo College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgery Consultants Inc.Group PAC ID 2163441569, 6 clinicians

Practice addresses (Care Compare)

1080 Polaris Pkwy
Columbus, OH 43240-6035
Phone (614) 781-0499

240 W Cook Rd
Mansfield, OH 44907-2451
Phone (419) 525-3737

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35067416SOHMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Consultants Inc. CurrentSince Jan 3, 2005 Accepting new patients
Revision Advanced Surgery Center Inc CurrentSince Feb 16, 2004 Accepting new patients
Revision Technologies, Inc. PastSince Jun 15, 1999 Accepting new patients

Locations

1080 Polaris Pkwy
Columbus, OH 43240
Phone (419) 892-5798

1080 Polaris Pkwy
Ste 100
Columbus, OH 43240
Phone (614) 781-0499

240 W Cook Rd
Mansfield, OH 44907
Phone (419) 525-3737

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1205838943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W COOK RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072451",
            "telephone_number": "419-525-3737",
            "fax_number": "419-525-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W COOK RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072451",
            "telephone_number": "419-525-3737",
            "fax_number": "419-525-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMER",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "35067416S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.