Individual provider Active NPI

George Lewis Schmidt, O.D.

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1376503052
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001306 Issued in FL
Practice address
9123 N Military TRL
Suite 101
West Palm Beach, FL 33410-5990
Phone
(561) 622-8200
Fax
(561) 622-8308
NPI assigned
Mar 25, 2006
Last updated
Mar 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC001306 FL Primary

Addresses

Primary practice location

9123 N Military TRL
Suite 101
West Palm Beach, FL 33410-5990

Mailing address

9123 N Military TRL
Suite 101
West Palm Beach, FL 33410-5990
Phone (561) 622-8200

Other identifiers 1

IdentifierTypeStateIssuer
620852500MedicaidFL

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

LicenseStateTypeSpecialty
OPC001306FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye & Ear of Palm Beach Gardens, LLC Optometrist PastSince Jul 9, 1990 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1376503052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 N MILITARY TRL",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334105990",
            "telephone_number": "561-622-8200",
            "fax_number": "561-622-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 N MILITARY TRL",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334105990",
            "telephone_number": "561-622-8200",
            "fax_number": "561-622-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "GEORGE",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620852500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.