Active NPI
Mark Thomas Scheel, O.D.
- Optometrist
- Waukesha, WI
National Provider Identifier
1235239880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2105
- Practice address
- W226S1500 State Road 164
Waukesha, WI 53186-1428 - Phone
- (262) 521-9460
- Fax
- (262) 521-9482
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 8, 2007
- 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 | 2105 | WI | Primary |
Addresses
Primary practice location
W226S1500 State Road 164
Waukesha, WI 53186-1428
Mailing address
S75W12605 Coventry LN
Muskego, WI 53150-4023
Phone (414) 425-8123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2105 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235239880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S75W12605 COVENTRY LN",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531504023",
"telephone_number": "414-425-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W226S1500 STATE ROAD 164",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861428",
"telephone_number": "262-521-9460",
"fax_number": "262-521-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEEL",
"first_name": "MARK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.