Active NPI
Adam Michael Schluterman, O.D.
- Optometrist
- Fort Smith, AR
National Provider Identifier
1316102437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2612
- Practice address
- 9220 Highway 71 S
Suite 10
Fort Smith, AR 72916-9117 - Phone
- (479) 646-2555
- Fax
- (479) 434-4140
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2612 | AR | Primary |
Addresses
Primary practice location
9220 Highway 71 S
Suite 10
Fort Smith, AR 72916-9117
Mailing address
9220 Highway 71 S
Suite 10
Fort Smith, AR 72916-9117
Phone (479) 646-2555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200256320A | Medicaid | OK | |
| 4T028 | Other | AR | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3312 S 70TH St
Fort Smith, AR 72903-5052
Phone (479) 452-7800
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.46 of 100
- Quality
- 93.65
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2612 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennen Eye Center, P.a. | Optometrist | Current | Accepting new patients |
Locations
3312 S 70th St
Fort Smith, AR 72903
Phone (479) 424-2744
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": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1316102437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 HIGHWAY 71 S",
"address_2": "SUITE 10",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169117",
"telephone_number": "479-646-2555",
"fax_number": "479-434-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 HIGHWAY 71 S",
"address_2": "SUITE 10",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169117",
"telephone_number": "479-646-2555",
"fax_number": "479-434-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLUTERMAN",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200256320A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "4T028",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.