Douglas Alfred Schroeder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO 2711 Issued in MO

Practice address

3828 S Lindbergh Blvd
Suite 114
Saint Louis, MO 63127-1366

Phone

(314) 843-7888

Fax

(314) 843-7832

NPI assigned

Nov 27, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1346316940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 S LINDBERGH BLVD",
            "address_2": "SUITE 114",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271366",
            "telephone_number": "314-843-7888",
            "fax_number": "314-843-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 S LINDBERGH BLVD",
            "address_2": "SUITE 114",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271366",
            "telephone_number": "314-843-7888",
            "fax_number": "314-843-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "DOUGLAS",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO 2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317936003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles R Schrock Jr., MD
• Lisa Marie Schrock, M.D.
• Alexandra Ragsdale Schroeder, MD
• Anna Christine Schroeder, MD
• Donna L Schroeder, DPT
• Elizabeth Jane Schroeder, CRNA
• Gabriel Rae Helen Schroeder, MD
• James Joseph Schroeder, PH.D.
• Katie Sue Schroeder, MD
• Katrina Ann Schroeder, OTR/L

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.

Verify at the official NPI Registry.