NPIMap

Organization Active NPI

Dr. John Schrolucke, Optometrist

  • Optometrist
  • Wickenburg, AZ
National Provider Identifier
1386851814
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ212 Issued in AZ
Legal business name
DR. JOHN SCHROLUCKE, OPTOMETRIST
Practice address
25 W Yavapai St
Wickenburg, AZ 85390-3280
Phone
(928) 684-2880
Fax
(928) 684-3209
NPI assigned
May 16, 2007
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Cathy Schrolucke
Title
Office Manager
Phone
(928) 684-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ212 AZ Primary

Addresses

Primary practice location

25 W Yavapai St
Wickenburg, AZ 85390-3280

Mailing address

25 W Yavapai St
Wickenburg, AZ 85390-3280
Phone (928) 684-2880

National Provider Directory

National Provider Directory
Tax ID family
Dr John Schrolucke Optometrist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1386851814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W YAVAPAI ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853903280",
            "telephone_number": "928-684-2880",
            "fax_number": "928-684-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W YAVAPAI ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853903280",
            "telephone_number": "928-684-2880",
            "fax_number": "928-684-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN SCHROLUCKE, OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHROLUCKE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-684-2880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.