Individual provider Active NPI

Adam Michael Schluterman, O.D.

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1316102437
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2612 Issued in AR
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

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200256320AMedicaidOK
4T028OtherARMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000035 AR Practitioner - Optometry 8628121688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennen Eye Center, P.a.Group PAC ID 5395885644, 4 clinicians

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 100Reported as group
Quality
93.65
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2612ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ennen Eye Center, P.a. Optometrist CurrentSince Mar 25, 2018 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

Verify at the official NPI Registry.