Individual provider Active NPI

Carrie Raye Schreck, OD

  • Optometrist
  • Meadville, PA
National Provider Identifier
1295872042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000441 Issued in PA
Practice address
900 Water St
Downtown Mall
Meadville, PA 16335-3428
Phone
(814) 336-6353
Fax
(814) 336-6354
NPI assigned
Jan 31, 2007
Sex
Female
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 OEG000441 PA Primary

Addresses

Primary practice location

900 Water St
Downtown Mall
Meadville, PA 16335-3428

Mailing address

PO Box 867
Meadville, PA 16335-6867
Phone (814) 336-6353

Other identifiers 1

IdentifierTypeStateIssuer
0018377240002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050610000242 PA Practitioner - Optometry 8820031909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Water St
Meadville, PA 16335-3485
Phone (814) 336-6353

900 Water St
Downtown Mall
Meadville, PA 16335-3428

P O Box
Suite 867
Meadville, PA 16335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000441PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optical Center PC Optometrist CurrentSince May 1, 2003 Accepting new patients

Locations

900 Water St
Meadville, PA 16335
Phone (814) 332-0024

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295872042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163356867",
            "telephone_number": "814-336-6353",
            "fax_number": "814-336-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WATER ST",
            "address_2": "DOWNTOWN MALL",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353428",
            "telephone_number": "814-336-6353",
            "fax_number": "814-336-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "CARRIE",
        "middle_name": "RAYE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018377240002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.