Mark Everett Schmidt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4047/T108 Issued in OH

Practice address

460 Rona Pkwy
Brookville, OH 45309-1118

Phone

(937) 833-4054

Fax

(937) 833-4055

NPI assigned

Sep 23, 2005

Last updated

Apr 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Mark E. Schmidt OD

  • Eyewear Supplier
  • Brookville, OH
  • NPI 1255500765

  Optometrist

  NPD Authorized official

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1487640637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 RONA PKWY",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091118",
            "telephone_number": "419-628-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 RONA PKWY",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091118",
            "telephone_number": "937-833-4054",
            "fax_number": "937-833-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARK",
        "middle_name": "EVERETT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4047/T108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Matthew Rhodes, D.D.S.
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 01659)
• Patricia Rupp-Hunt, LISW-S
• Samaritan Family Care, Inc. (Brookville Family Care)
• Angelena E Schauer, L.P.N.
• Scott L Hora OD LLC
• Elaine Kay Scott, CRNP
• Anthony H Shaffer, D.C.
• Randall R Shaffer, D.C.
• Tonya Lynn Singleton, LPN

• Optometrist in Brookville, OH
• Providers in Brookville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.