NPIMap

Organization Active NPI

Douglas Schneider OD PC

  • Optometrist
  • Cadillac, MI
National Provider Identifier
1295797421
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002791 Issued in MI
Legal business name
DOUGLAS SCHNEIDER OD PC
Practice address
1933 N Mitchell St
Cadillac, MI 49601-1139
Phone
(231) 775-6555
Fax
(231) 775-6648
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Douglas E. Schneider, ODNPI 1578740676
Title
President
Phone
(231) 775-6555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002791 MI Primary

Addresses

Primary practice location

1933 N Mitchell St
Cadillac, MI 49601-1139

Mailing address

1933 N Mitchell St
Cadillac, MI 49601-1139
Phone (231) 775-6555

Other identifiers 1

IdentifierTypeStateIssuer
1500559MedicaidMI

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

1933 N Mitchell St
Cadillac, MI 49601
Phone (231) 775-6555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1295797421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011139",
            "telephone_number": "231-775-6555",
            "fax_number": "231-775-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011139",
            "telephone_number": "231-775-6555",
            "fax_number": "231-775-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS SCHNEIDER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-775-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500559",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.