NPIMap

Organization Active NPI

Robb Schmidt, OD, PC

Doing business as Nevada Vision Clinic

  • Optometrist
  • Nevada, IA
National Provider Identifier
1487634994
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02259 Issued in IA
Legal business name
ROBB SCHMIDT, OD, PC
Doing business as
Nevada Vision Clinic
Practice address
1731 S G Ave
Nevada, IA 50201-2798
Phone
(515) 382-2744
Fax
(515) 382-6934
NPI assigned
Jan 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robb William Schmidt, O.D.NPI 1427024033
Title
President/Owner
Phone
(515) 382-2744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02259 IA Primary

Addresses

Primary practice location

1731 S G Ave
Nevada, IA 50201-2798

Mailing address

1731 S G Ave
Nevada, IA 50201-2798
Phone (515) 382-2744

Other identifiers 6

IdentifierTypeStateIssuer
35131OtherIAWELLMARK BXBS
187530OtherIACOVENTRY HEALTHCARE
DA8866OtherIARR MEDICARE GROUP#
P00076385OtherIARR MEDICARE PIN#
0422667MedicaidIA
100499OtherIAHEALTH ALLIANCE

Other names 1

  • Nevada Vision Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000521 IA Part B Supplier - Clinic/Group Practice 1850203191 Receives reassigned benefits from 3 practitioners
Practice locations: Nevada, IA; Huxley, IA

National Provider Directory

National Provider Directory

Locations

1101 5th St
Nevada, IA 50201
Phone (515) 382-2744

1731 S G Ave
Nevada, IA 50201
Phone (515) 382-2744

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487634994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 S G AVE",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012798",
            "telephone_number": "515-382-2744",
            "fax_number": "515-382-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 S G AVE",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012798",
            "telephone_number": "515-382-2744",
            "fax_number": "515-382-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBB SCHMIDT, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ROBB",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "515-382-2744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BXBS",
            "identifier": "35131",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "187530",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#",
            "identifier": "DA8866",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN#",
            "identifier": "P00076385",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422667",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "100499",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.