Active NPI
Jeri a Schneebeck, OD, PC
- Optometrist
- Aurora, CO
National Provider Identifier
1407070352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1141
- Legal business name
- JERI A SCHNEEBECK, OD, PC
- Practice address
- 24200 E Smoky Hill Rd
Aurora, CO 80016-1381 - Phone
- (720) 870-2828
- Fax
- (720) 870-2117
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deb Hatch
- Title
- Billing
- Phone
- (720) 870-2828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1141 | CO | Primary |
Addresses
Primary practice location
24200 E Smoky Hill Rd
Aurora, CO 80016-1381
Mailing address
24200 E Smoky Hill Rd
Aurora, CO 80016-1381
Phone (720) 870-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0293200001 | Other | CO | PTAN |
Other names 1
- Highline Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040128000111 | CO | Part B Supplier - Clinic/Group Practice | 4385547496 |
Receives reassigned benefits from 7 practitioners Practice locations: Aurora, CO |
National Provider Directory
National Provider DirectoryLocations
24200 E Smoky Hill Rd
Aurora, CO 80016
Phone (720) 870-2828
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vision Therapy Optometrist
- Boulder, CO
- NPI 1184624520
Optometrist
-
- Optometrist
- Laramie, WY
- NPI 1528030988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1407070352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24200 E SMOKY HILL RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800161381",
"telephone_number": "720-870-2828",
"fax_number": "720-870-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24200 E SMOKY HILL RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800161381",
"telephone_number": "720-870-2828",
"fax_number": "720-870-2117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERI A SCHNEEBECK, OD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A",
"authorized_official_last_name": "HATCH",
"authorized_official_first_name": "DEB",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "720-870-2828"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "1141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0293200001",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Highline Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.