Individual provider Active NPI

Scott Andrew Schumacher

  • Optometrist
  • Greenfield, WI
National Provider Identifier
1457339343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2774 Issued in WI
Practice address
4850 S 74TH St
Greenfield, WI 53220-4359
Phone
(414) 282-3308
Fax
(414) 325-8770
NPI assigned
Jan 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2774 WI Primary

Addresses

Primary practice location

4850 S 74TH St
Greenfield, WI 53220-4359

Mailing address

W168S7012 Parkland Dr
Muskego, WI 53150-9441
Phone (414) 422-0569

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040127000081 WI Practitioner - Optometry 2860394079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica Retail North America Inc Past Accepting new patients
Eye Site Vision Care Center Inc Optometrist PastSince Jan 1, 2001 Accepting new patients
Valley Vision Clinic SC Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457339343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W168S7012 PARKLAND DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509441",
            "telephone_number": "414-422-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S 74TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204359",
            "telephone_number": "414-282-3308",
            "fax_number": "414-325-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.