Individual provider Active NPI

Mark E Schmidt, O.D.

  • Optometrist
  • Sewickley, PA
National Provider Identifier
1245281161
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0EG00529 Issued in PA
Practice address
111 Hazel LN
Suite 102
Sewickley, PA 15143-1253
Phone
(412) 741-5577
Fax
(412) 741-1141
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0EG00529 PA Primary

Addresses

Primary practice location

111 Hazel LN
Suite 102
Sewickley, PA 15143-1253

Mailing address

111 Hazel LN
Suite 102
Sewickley, PA 15143-1253
Phone (412) 741-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20061004000304 PA Practitioner - Optometry 6709882301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel J Nadler MD PCGroup PAC ID 8628016227, 3 clinicians

Practice addresses (Care Compare)

111 Hazel LN
Suite 102
Sewickley, PA 15143-1253
Phone (412) 741-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0EG00529PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J. Nadler MD PC CurrentSince Jul 15, 2006 Accepting new patients
Daniel J Nadler MD PC PastSince Jul 15, 2006 Accepting new patients

Locations

1200 Sharon Rd
Ste 202
Beaver, PA 15009
Phone (412) 741-5577

111 Hazel Ln
Ste 102
Sewickley, PA 15143
Phone (412) 741-5577

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1245281161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN",
            "address_2": "SUITE 102",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-741-5577",
            "fax_number": "412-741-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN",
            "address_2": "SUITE 102",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-741-5577",
            "fax_number": "412-741-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG00529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.