Individual provider Active NPI

Mary J Schinderle, O.D.

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1235296658
Registry record updated Jun 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2308 Issued in FL
Practice address
8201 S Tamiami TRL
Suite 51
Sarasota, FL 34238-2966
Phone
(941) 923-4111
NPI assigned
Jan 3, 2007
Last updated
Jun 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2308 FL Primary

Addresses

Primary practice location

8201 S Tamiami TRL
Suite 51
Sarasota, FL 34238-2966

Mailing address

1990 Main St PH 2
Sarasota, FL 34236-5985
Phone (941) 769-2020

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2308FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Family Eye Care, P.a. Optometrist CurrentSince Mar 15, 2016 Accepting new patients
Schinderle Eugenides OD PA Optometrist PastSince Jan 1, 1993 Accepting new patients
Tad R Kosanovich OD PA PastSince Aug 7, 2010 Accepting new patients

Locations

6225 E State Road 64
Bradenton, FL 34208
Phone (941) 708-2812

5810 Ranch Lake Blvd
Lakewood Ranch, FL 34202
Phone (941) 799-5538

4381 Cattlemen Rd
Sarasota, FL 34233
Phone (941) 379-0944

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275696000000",
    "number": "1235296658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 MAIN ST PH 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365985",
            "telephone_number": "941-769-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 S TAMIAMI TRL",
            "address_2": "SUITE 51",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382966",
            "telephone_number": "941-923-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHINDERLE",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; 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.