Kenneth N Schwaderer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5331TPL Issued in CA

Practice address

495 Castro St
Mountain View Optometry & Contact Lens Clinic
Mountain View, CA 94041-2086

Phone

(650) 967-6649

Fax

(650) 967-0237

NPI assigned

Feb 27, 2006

Sex

Male

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 CA

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

University of California - School of Optometry, 1971

Medicare assignment

May accept Medicare assignment

Group practices

Fourth Optometric Care of CaliforniaGroup PAC ID 6305210345, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drschwaderer@mvo.eyeclinicdirect.net

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.

• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974
  Medicare reassignment Care Compare group NPD
• Mountain View Optometry and Contact Lens Clinic

  • Optometrist
  • Mountain View, CA
  • NPI 1932156122
  NPD Authorized official
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1386610657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "address_2": "MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "address_2": "MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWADERER",
        "first_name": "KENNETH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5331TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Hunter Schneider, LPC
• Lucy Schoen, MD
• Thomas M. Schramm
• Jesse Schulte, PHD
• Achiezer Schusterman, LMSW
• Deborah Lee Schwartz
• Moriah Schwarz, DO
• Rachel Kirsten Schwehr
• Alfred L Scopp, PHD
• Scott P. Wachhorst, M.D. a Professional Corporation

• Optometrist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.