Active NPI
Todd M Schulz, O.D.
- Optometrist
- Urbandale, IA
National Provider Identifier
1497834014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02320
- Practice address
- 2699 86TH St
Urbandale, IA 50322-4309 - Phone
- (515) 270-2490
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Optometrist
- Urbandale, IA
- NPI 1407074214
-
- Vision Therapy Optometrist
- Urbandale, IA
- NPI 1336102052
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02320 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Park Family Eye Care | Optometrist | Past | Accepting new patients |
| Vision Park Family Eye Care, LLP | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02320 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2699 86TH St
Urbandale, IA 50322-4309
Mailing address
3112 SW Greenwood St
Ankeny, IA 50023-6226
Phone (515) 401-7151
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0493924 | Medicaid | IA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497834014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 SW GREENWOOD ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500236226",
"telephone_number": "515-401-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 86TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224309",
"telephone_number": "515-270-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "TODD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0493924",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.