Organization Active NPI

Robert I Schnipper MD PA

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1396760104
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME19517 Issued in FL
Legal business name
ROBERT I SCHNIPPER MD PA
Practice address
2001 College St
Jacksonville, FL 32204
Phone
(904) 355-5555
Fax
(904) 355-9966
NPI assigned
Jul 13, 2006
Organization subpart
Yes
Parent organization
ROBERT I SCHNIPPER MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Ms. Lynn G
Title
Insurance Coordinator
Phone
(904) 355-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME19517 FL Primary

Addresses

Primary practice location

2001 College St
Jacksonville, FL 32204

Mailing address

2001 College St
Jacksonville, FL 32204-3703
Phone (904) 355-5555

Other identifiers 2

IdentifierTypeStateIssuer
CK0877OtherFLRRMEDICARE
373611300MedicaidFL

Other names 1

  • Jacksonville Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041112000474 FL Part B Supplier - Clinic/Group Practice 3779547559 Receives reassigned benefits from 5 practitioners
Practice locations: Jacksonville, FL
O20101019000370 FL DME Supplier - Physician - Optometrist 3779547559 Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Robert I Schnipper MD PA2001 College St, Jacksonville, FL 32204-3703(904) 355-5555 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 4, 2010

National Provider Directory

National Provider Directory
Tax ID family
Robert I Schnipper Mdpa2 organizations share this tax ID, including this one
Part of
Robert I Schnipper Mdpa

Other organizations with this tax ID 1

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

Locations

2001 College St
#1
Jacksonville, FL 32204

Interoperability endpoints

  • Direct secure messaging: jhoffman@jecfl.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1396760104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COLLEGE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043703",
            "telephone_number": "904-355-5555",
            "fax_number": "904-355-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COLLEGE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-355-5555",
            "fax_number": "904-355-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT I SCHNIPPER MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT I SCHNIPPER MD PA",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "G",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "904-355-5555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME19517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "CK0877",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373611300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacksonville Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.