Individual provider Active NPI

Ryan C. Schamerloh, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1205851300
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6956TG Issued in TX
Practice address
2959 S Buckner Blvd Ste 700
Dallas, TX 75227-6950
Phone
(214) 239-2176
Fax
(214) 239-2177
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 6956TG TX
Optometrist 152W00000X 6956TG TX Primary

Addresses

Primary practice location

2959 S Buckner Blvd Ste 700
Dallas, TX 75227-6950

Mailing address

2959 S Buckner Blvd
Ste. 700
Dallas, TX 75227-6945
Phone (214) 239-2176

Other practice location 1

3720 Walnut Hill Ln Ste 101
Dallas, TX 75229-6172
Phone (214) 353-3398

Other identifiers 6

IdentifierTypeStateIssuer
181434501MedicaidTX
301821005MedicaidTX
181434503MedicaidTX
6956TGOtherTXTEXAS OPTOMETRY BOARD
301821003MedicaidTX
181434505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060929000456 TX Practitioner - Optometry 2163427972 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All-Care Eye ClinicGroup PAC ID 0840591236, 3 clinicians

Practice addresses (Care Compare)

2959 S Buckner Blvd
Suite 700
Dallas, TX 75227-6945

2959 S Buckner Blvd
Suite 700
Dallas, TX 75227-6950
Phone (214) 239-2176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6956TGTXMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Eye Clinic Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Ryan C. Schamerloh, OD Optometrist CurrentSince Jul 1, 2006 Accepting new patients

Locations

2959 S Buckner Blvd
Ste 700
Dallas, TX 75227
Phone (214) 206-4974

3720 Walnut Hill Ln
Ste 101
Dallas, TX 75229
Phone (214) 353-3398

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1205851300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 S BUCKNER BLVD",
            "address_2": "STE. 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276945",
            "telephone_number": "214-239-2176",
            "fax_number": "214-239-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 S BUCKNER BLVD STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276950",
            "telephone_number": "214-239-2176",
            "fax_number": "214-239-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Walnut Hill Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752296172",
            "country_code": "US",
            "telephone_number": "214-353-3398",
            "fax_number": "214-353-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAMERLOH",
        "first_name": "RYAN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "6956TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6956TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181434501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301821005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181434503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "6956TG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301821003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181434505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.