Individual provider Active NPI

Phillip Oliver Schmitz, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1285651778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0845 Issued in MD
Practice address
1796 A Merritt Blvd
Baltimore, MD 21222
Phone
(410) 284-6700
Fax
(410) 282-4110
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0845 MD Primary

Addresses

Primary practice location

1796 A Merritt Blvd
Baltimore, MD 21222

Mailing address

2811 Lord Baltimore Dr
Baltimore, MD 21244
Phone (443) 316-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120911000337 GA Practitioner - Optometry 2365690633 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0845MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Oct 17, 2021 Accepting new patients
Mark Lynn OD & Associates, PC Optometrist CurrentSince Jul 31, 2012 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Oct 17, 2021 Accepting new patients
Mark Lynn O.D. & Associates, PC PastSince Jul 31, 2012 Accepting new patients

Locations

50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379

2100 Pleasant Hill Rd
#H101
Duluth, GA 30096
Phone (678) 475-0500

3360 Shelby Ln
Ste 1010
East Point, GA 30344
Phone (404) 344-0274

2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050

Organizations & group practices 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285651778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LORD BALTIMORE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "443-316-2101",
            "fax_number": "410-265-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 A MERRITT BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21222",
            "telephone_number": "410-284-6700",
            "fax_number": "410-282-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "PHILLIP",
        "middle_name": "OLIVER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.