Charles Schulte, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

602 Issued in NM

Practice address

2027 Cerrillos Rd
Santa Fe, NM 87505-3269

Phone

(505) 820-1212

Fax

(505) 820-1218

NPI assigned

Jul 12, 2006

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Illinois College of Optometry at Chicago, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care Arizona PLLCGroup PAC ID 6204109648, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family First Vision Care Arizona PLLC

  dba Pearle Vision

  • Optometrist
  • Phoenix, AZ
  • NPI 1639875826
  Medicare reassignment Care Compare group NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1710417514
  NPD
• Eye Institute of Albuquerque, PC

  dba Lovato Eyecare

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1073550513
  NPD (past)
• Hero Dental of Albuquerque PC

  dba Adventure Dental, Vision and Orthodontics

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1871881623
  NPD (past)
• Hero Dental of Santa Fe PC

  dba Adventure Dental, Vision and Orthodontics

  • General Practice Dentistry
  • Santa Fe, NM
  • NPI 1033407846
  NPD (past)
• Hero Vision of Albuquerque LLC

  dba Adventure Dental Vision and Orthondontics

  • Optometrist
  • Albuquerque, NM
  • NPI 1780954800
  NPD (past)
• Hero Vision of Santa Fe LLC

  dba Adventure Dental, Vision and Orthodontics

  • Optometrist
  • Santa Fe, NM
  • NPI 1144590258
  NPD (past)
• Your Childs Eyes LLC

  dba Academy Kids Vision

  • Optometrist
  • Colorado Springs, CO
  • NPI 1184821126
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1407871536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053269",
            "telephone_number": "505-820-1212",
            "fax_number": "505-820-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Menaul Blvd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871103046",
            "country_code": "US",
            "telephone_number": "505-872-1212",
            "fax_number": "505-872-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "CHARLES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003373",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407871536",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84151765",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Garret Schooley
• Nancy Schreiber, LMHC
• Deborah Schroder, LPAT
• Markus Schuetz, LMHC
• Sanford David Schulhofer, D.P.M.
• Shannon N. Schulthesis, BMS
• Jenae Schultz
• Michael Schultz, MD
• Amy Katherine Schulze, M.D.
• Isabelle Svet Schumaker

• Optometrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.