Individual provider Active NPI

Blake J Schermer, O.D.

  • Optometrist
  • Germantown, MD
National Provider Identifier
1275845026
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2330 Issued in MD
Practice address
13010 Middlebrook Rd
Germantown, MD 20874-2617
Phone
(301) 540-1555
Fax
(301) 540-7526
NPI assigned
Jul 9, 2010
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5957 / T2891 OH
Optometrist 152W00000X TA2330 MD Primary
Optometrist 152W00000X 0618002175 VA

Addresses

Primary practice location

13010 Middlebrook Rd
Germantown, MD 20874-2617

Mailing address

13010 Middlebrook Rd
Germantown, MD 20874-2617
Phone (301) 540-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20181203000501 DC Practitioner - Optometry 3072638501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13010 Middlebrook Rd
Germantown, MD 20874-2617
Phone (301) 540-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2330MDMDOptometrist
5957 / T2891OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blake Schermer Holdings, LLC Optometrist CurrentSince Jun 14, 2021 Accepting new patients
John P Essepian MD PC PastSince May 1, 2020 Accepting new patients

Locations

13010 Middlebrook Rd
Germantown, MD 20874
Phone (301) 540-1555

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, 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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1275845026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 MIDDLEBROOK RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742617",
            "telephone_number": "301-540-1555",
            "fax_number": "301-540-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 MIDDLEBROOK RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742617",
            "telephone_number": "301-540-1555",
            "fax_number": "301-540-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERMER",
        "first_name": "BLAKE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5957 / T2891",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2330",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.