Individual provider Active NPI

William Stephen Schmidt, O.D.

  • Optometrist
  • Bensalem, PA
National Provider Identifier
1487793717
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000847 Issued in PA
Practice address
200 Neshaminy Mall
Bensalem, PA 19020-1600
Phone
(215) 953-8483
Fax
(215) 357-5287
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OEG-000847 PA
Optometrist 152W00000X OEG-000847 PA Primary

Addresses

Primary practice location

200 Neshaminy Mall
Bensalem, PA 19020-1600

Mailing address

200 Neshaminy Mall
Bensalem, PA 19020-1600
Phone (215) 953-8483

Other practice location 1

105 White Horse Pike
Haddon Heights, NJ 08035-1909
Phone (856) 547-1339

Other identifiers 2

IdentifierTypeStateIssuer
396727OtherPANATIONAL VISION ADMINIS
813814OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OEG-000847PAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc Past Accepting new patients
Haddon Family Eye Care, LLC Optometrist PastSince Oct 1, 2011 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1487793717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NESHAMINY MALL",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201600",
            "telephone_number": "215-953-8483",
            "fax_number": "215-357-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NESHAMINY MALL",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201600",
            "telephone_number": "215-953-8483",
            "fax_number": "215-357-5287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351909",
            "country_code": "US",
            "telephone_number": "856-547-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG-000847",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINIS",
            "identifier": "396727",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "813814",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.