Individual provider Active NPI

Samuel L Rumschlag, O.D.

  • Optometrist
  • Carmel, IN
National Provider Identifier
1285717603
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001681A Issued in IN
Practice address
755 W Carmel Dr
Suite 204
Carmel, IN 46032-5877
Phone
(317) 846-3937
Fax
(317) 846-4423
NPI assigned
Oct 21, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001681A IN Primary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18001681B IN

Addresses

Primary practice location

755 W Carmel Dr
Suite 204
Carmel, IN 46032-5877

Mailing address

755 W Carmel Dr
Suite 204
Carmel, IN 46032-5877
Phone (317) 846-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110414000005 IN Practitioner - Optometry 8224224704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

755 W Carmel Dr
Suite 204
Carmel, IN 46032-5878
Phone (317) 846-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001681AINMDOptometrist
18001681BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rumschlag Optometry, P.C. Optometrist CurrentSince Sep 27, 2010 Accepting new patients

Locations

755 W Carmel Dr
Ste 204
Carmel, IN 46032
Phone (317) 846-3937

Organizations & group practices 1

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1285717603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 204",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-846-3937",
            "fax_number": "317-846-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 204",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-846-3937",
            "fax_number": "317-846-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMSCHLAG",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001681A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001681B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.