Active NPI
Peter M Schmid
- Optometrist
- Streetsboro, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4767
- Practice address
- 1155 State Route 303
Streetsboro, OH 44241-3969 - Phone
- (330) 422-9999
- Fax
- (330) 422-0316
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4767 | OH | Primary |
Addresses
Primary practice location
1155 State Route 303
Streetsboro, OH 44241-3969
Mailing address
1155 State Route 303
Streetsboro, OH 44241-3969
Phone (330) 422-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0753797 | Medicaid | OH | |
| 1325590001 | Other | OH | ADMINISTAR FEDERAL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4767 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Reserve Eye Associates, Inc. | Optometrist | Current | Accepting new patients |
| Cei Physicians PSC LLC | Optometrist | Past | Accepting new patients |
Locations
1558 Akron Peninsula Rd
Akron, OH 44313
Phone (330) 922-0828
6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974
1520 Portage Trl
Cuyahoga Fls, OH 44223
Phone (330) 422-9999
1155 State Route 303
Streetsboro, OH 44241
Phone (330) 422-2020
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": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1508807165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 STATE ROUTE 303",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442413969",
"telephone_number": "330-422-9999",
"fax_number": "330-422-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 STATE ROUTE 303",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442413969",
"telephone_number": "330-422-9999",
"fax_number": "330-422-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMID",
"first_name": "PETER",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0753797",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL",
"identifier": "1325590001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.