Active NPI
Richard Schrenzel, O.D.
- Optometrist
- Wilmette, IL
National Provider Identifier
1326055146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0467061
- Practice address
- 1515 Sheridan Rd
Wilmette, IL 60091-1822 - Phone
- (847) 251-7211
- NPI assigned
- Aug 2, 2006
- Last updated
- Dec 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0467061 | IL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 0467061 | IL |
Addresses
Primary practice location
1515 Sheridan Rd
Wilmette, IL 60091-1822
Mailing address
1515 Sheridan Rd
Wilmette, IL 60091-1822
Phone (847) 251-7211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 772540 | Medicaid | IL | |
| 01684549 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0467061 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Eye Care Providers, LLC | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Lemont, IL
- NPI 1013070093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1326055146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SHERIDAN RD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911822",
"telephone_number": "847-251-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SHERIDAN RD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911822",
"telephone_number": "847-251-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRENZEL",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "0467061",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "0467061",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "772540",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01684549",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.