Individual provider Active NPI

Allison M.B. Schulte, O.D.

  • Optometrist
  • Clarkston, MI
National Provider Identifier
1295727832
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003620 Issued in MI
Practice address
6770 Dixie Hwy
Suite 203
Clarkston, MI 48346-2087
Phone
(248) 922-1111
Fax
(248) 922-9962
NPI assigned
Aug 19, 2005
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003620 MI Primary

Addresses

Primary practice location

6770 Dixie Hwy
Suite 203
Clarkston, MI 48346-2087

Mailing address

6770 Dixie Hwy
Suite 203
Clarkston, MI 48346-2087
Phone (248) 922-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20111227000073 MI Practitioner - Optometry 8426224312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6770 Dixie Hwy
Suite 203
Clarkston, MI 48346-2098
Phone (248) 922-1111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003620MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Optometrist PastSince Dec 27, 2011 Accepting new patients

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1295727832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "address_2": "SUITE 203",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-922-1111",
            "fax_number": "248-922-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "address_2": "SUITE 203",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-922-1111",
            "fax_number": "248-922-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "ALLISON",
        "middle_name": "M.B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.