Individual provider Active NPI

Katherine Grace Schuetz, OD

  • Optometrist
  • Zionsville, IN
National Provider Identifier
1316039803
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003070 Issued in IN
Practice address
55 Brendon Way
Suite 900
Zionsville, IN 46077-1961
Phone
(317) 873-3393
Fax
(317) 873-3323
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003070 IN Primary

Addresses

Primary practice location

55 Brendon Way
Suite 900
Zionsville, IN 46077-1961

Mailing address

14250 Clay Terrace Blvd
Ste 160
Carmel, IN 46032-3633
Phone (317) 873-3393

Other identifiers 3

IdentifierTypeStateIssuer
309620475OtherINVSP
000000366787OtherINANTHEM
200476480AMedicaidIN

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
I20140807002651 IN Practitioner - Optometry 8729162730

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14250 Clay Terrace Blvd
Carmel, IN 46032-3632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003070INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aristotle Healthcare, L.L.C. Optometrist Past Accepting new patients
Lauck & McLean P C Optometrist PastSince May 25, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherine.schuetz.1@20754.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1316039803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14250 CLAY TERRACE BLVD",
            "address_2": "STE 160",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323633",
            "telephone_number": "317-873-3393",
            "fax_number": "317-873-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRENDON WAY",
            "address_2": "SUITE 900",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771961",
            "telephone_number": "317-873-3393",
            "fax_number": "317-873-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETZ",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "309620475",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000366787",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200476480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.