Individual provider Active NPI

Johann Josue Schlager, OD

  • Vision Therapy Optometrist
  • Merced, CA
National Provider Identifier
1255986014
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
34586 Issued in CA
Practice address
3178 Collins Dr
Ste a
Merced, CA 95348-3155
Phone
(209) 383-1246
NPI assigned
Aug 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 34586 CA Primary

Addresses

Primary practice location

3178 Collins Dr
Ste a
Merced, CA 95348-3155

Mailing address

105 Sproul CT
Merced, CA 95348-8564
Phone (310) 483-6282

Other practice location 1

901 Dover Dr Ste 100
Newport Beach, CA 92660-5514
Phone (949) 642-0292

Other identifiers 1

IdentifierTypeStateIssuer
CB354670MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200909003553 CA Practitioner - Optometry 8628496577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johann J Schlager OD IncGroup PAC ID 4981097482, 3 clinicians

Practice addresses (Care Compare)

3178 Collins Dr
Suite a
Merced, CA 95348-3155
Phone (209) 383-1246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34586CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Johann J. Schlager, OD Inc. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Saint Joseph Vision Therapy LLC Vision Therapy PastSince Aug 1, 2019 Accepting new patients

Locations

3178 Collins Dr
Ste A
Merced, CA 95348
Phone (209) 383-1246

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1255986014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPROUL CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488564",
            "telephone_number": "310-483-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 COLLINS DR",
            "address_2": "STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483155",
            "telephone_number": "209-383-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Dover Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605514",
            "country_code": "US",
            "telephone_number": "949-642-0292",
            "fax_number": "269-983-0846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLAGER",
        "first_name": "JOHANN",
        "middle_name": "JOSUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "34586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB354670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.