Andrea Schiltz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3804 Issued in CO

Practice address

415 Main St
Wray, CO 80758-1724

Phone

(970) 332-4823

NPI assigned

Jun 6, 2022

Last updated

Feb 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, IL2 enrollments

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 2

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pontiac Family Eye Care LLCGroup PAC ID 5395068266, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pontiac Family Eye Care LLC

  • Optometrist
  • Pontiac, IL
  • NPI 1700286143
  Medicare reassignment Care Compare group NPD
• Morrison Optometric Associates PA

  dba Vision Source of Colby, Goodland, Burlington, Atwood & St Francis

  • Optometrist
  • Burlington, CO
  • NPI 1609843390
  Medicare reassignment NPD
• Sowash Optometry Group PC

  dba VisionWorks

  • Optometrist
  • Lakewood, CO
  • NPI 1336172055
  Medicare reassignment NPD
• Morrison Optometric Associates PA

  dba Vision Source Wray

  • Optometrist
  • Wray, CO
  • NPI 1992318083
  NPD
• Sowash Optometry Group, PC

  dba Visionworks

  • Eyewear Supplier
  • Denver, CO
  • NPI 1891404174

  Optometrist

  NPD
• Dr. Randy L. Hertneky

  • Durable Medical Equipment & Medical Supplies
  • Yuma, CO
  • NPI 1578741617
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1386373496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GRANTS WAY",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581914",
            "telephone_number": "636-373-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581724",
            "telephone_number": "970-332-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILTZ",
        "first_name": "ANDREA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathon Reinick
• Renotta Health Care Systems, Inc (Hillcrest Care Center / The Towers)
• Donna Marie Roberts
• Telena L Rogers
• Renee Ruhlman, M.ED.
• Megan Renae Schipper
• Deborah Schorzman
• Leeann Schroeder
• Bonetta Schulte, FNP-C
• Lori Lynne Smith, R.D.

• Optometrist in Wray, CO
• Providers in Wray, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.