Active NPI
Russell Stanford Schmidt, OD
- Optometrist
- Fresno, CA
National Provider Identifier
1346467891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5596
- Practice address
- 4710 N Cedar Ave
Suite 102
Fresno, CA 93726-1086 - Phone
- (559) 225-0150
- Fax
- (559) 299-4763
- NPI assigned
- Apr 19, 2007
- Last updated
- Jun 7, 2010
- 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 | OPT5596 | CA | Primary |
Addresses
Primary practice location
4710 N Cedar Ave
Suite 102
Fresno, CA 93726-1086
Mailing address
5661 N Angus St
Fresno, CA 93710-6112
Phone (559) 439-9727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT5596 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1346467891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5661 N ANGUS ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106112",
"telephone_number": "559-439-9727",
"fax_number": "559-229-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 N CEDAR AVE",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937261086",
"telephone_number": "559-225-0150",
"fax_number": "559-299-4763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "RUSSELL",
"middle_name": "STANFORD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT5596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.