Individual provider Active NPI

Jeffrey D Handschumacher, O.D.

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1295734739
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1708 Issued in NC
Practice address
7500 Ramble Way
Suite 101
Raleigh, NC 27616-4307
Phone
(919) 981-4444
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1708 NC Primary

Addresses

Primary practice location

7500 Ramble Way
Suite 101
Raleigh, NC 27616-4307

Mailing address

7500 Ramble Way
Suite 101
Raleigh, NC 27616-4307
Phone (919) 981-4444

Other identifiers 4

IdentifierTypeStateIssuer
4954450001OtherNCPALMETTO DMERC
4954450001OtherNCDMERC
890924WMedicaidNC
P00072370OtherNCRAIL ROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JDH@familyeyecarecenter.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040122000083 NC Practitioner - Optometry 5294636049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7500 Ramble Way
Suite 101
Raleigh, NC 27616-4310
Phone (919) 981-4444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1708NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Handschumacher Enterprises OD PA Optometrist CurrentSince Aug 14, 2003 Accepting new patients

Locations

7500 Ramble Way
Ste 101
Raleigh, NC 27616
Phone (919) 981-4444

10573 E NC Highway 97
Rocky Mount, NC 27803
Phone (252) 459-5555

Interoperability endpoints

  • Direct secure messaging: jdh@familyeyecarecenter.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1295734739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 RAMBLE WAY",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164307",
            "telephone_number": "919-981-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 RAMBLE WAY",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164307",
            "telephone_number": "919-981-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDSCHUMACHER",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DMERC",
            "identifier": "4954450001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4954450001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890924W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00072370",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JDH@familyeyecarecenter.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7500 Ramble Way Ste 101",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276164310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.