Individual provider Active NPI

Nicole Marie Schwartz, OD

  • Optometrist
  • Kingston, PA
National Provider Identifier
1366597056
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001142 Issued in PA
Practice address
703 Rutter Ave
Kingston, PA 18704-4801
Phone
(570) 288-7405
Fax
(570) 288-7406
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001142 PA Primary

Addresses

Primary practice location

703 Rutter Ave
Kingston, PA 18704-4801

Mailing address

703 Rutter Ave
Kingston, PA 18704-4801
Phone (570) 288-7405

Other practice location 1

35 Gateway Shopping Ctr
Edwardsville, PA 18704-4424
Phone (570) 714-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20231129000594 DE Practitioner - Optometry 6204927585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sussex Eye Center PAGroup PAC ID 4284623596, 9 clinicians

Practice addresses (Care Compare)

32030 Long Neck Rd
Millsboro, DE 19966-6228
Phone (302) 947-2020

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
64.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OEG001142PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Eye Center PA Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Sight Services P.C. Optometrist CurrentSince Aug 7, 2016 Accepting new patients

Locations

502 W Market St
Georgetown, DE 19947
Phone (302) 629-3044

1540 Savannah Rd
Ste A
Lewes, DE 19958
Phone (302) 645-2020

32030 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-8881

32030 Long Neck Rd
Ste A
Millsboro, DE 19966

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

2990 Holme Ave
Philadelphia, PA 19136
Phone (215) 335-2100

100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002

Organizations & group practices 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1366597056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RUTTER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044801",
            "telephone_number": "570-288-7405",
            "fax_number": "570-288-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RUTTER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044801",
            "telephone_number": "570-288-7405",
            "fax_number": "570-288-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Gateway Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "PA",
            "postal_code": "187044424",
            "country_code": "US",
            "telephone_number": "570-714-3937",
            "fax_number": "570-714-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.