Organization Active NPI

Jeri a Schneebeck, OD, PC

  • Optometrist
  • Aurora, CO
National Provider Identifier
1407070352
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1141 Issued in CO
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

Updated by the provider on Nov 6, 2023

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0293200001OtherCOPTAN

Other names 1

  • Highline Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000111 CO Part B Supplier - Clinic/Group Practice 4385547496 Receives reassigned benefits from 7 practitioners
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.