Schletzbaum Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

950-3 Issued in KS

Legal business name

SCHLETZBAUM OPTOMETRY, INC.

Doing business as

Drs. Torrence and Schletzbaum

Practice address

2311 N Waldron St
Hutchinson, KS 67502-1133

Phone

(620) 663-4467

Fax

(620) 663-5007

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Jeffery John Schletzbaum, O.D.NPI 1780653394

Title

Owner

Phone

(620) 663-4467

Specialties & licenses 6

Addresses

Other identifiers 8

Other names 1

• Drs. Torrence and Schletzbaum Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffery J. Schletzbaum, O.D.

  • Optometrist
  • Hutchinson, KS
  • NPI 1780653394
  Medicare reassignment NPD Authorized official
• Janet Elaine Rogers, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
  • NPI 1831208024
  NPD (past)
• Michael D. Torrence, O.D.

  • Optometrist
  • Hutchinson, KS
  • NPI 1922077866
  NPD (past)
• Philip S Walters, O.D.

  • Optometrist
  • McPherson, KS
  • NPI 1780997502
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1528037439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021133",
            "telephone_number": "620-663-4467",
            "fax_number": "620-663-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021133",
            "telephone_number": "620-663-4467",
            "fax_number": "620-663-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHLETZBAUM OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "SCHLETZBAUM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-663-4467",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "950-3",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1663",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "950-3",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1663",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "KS",
            "license": "1663",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "KS",
            "license": "1663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090370B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. T'S HEALTHWAVE KS",
            "identifier": "649460",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200252620A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. S'S HEALTHWAVE KS",
            "identifier": "464910",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "DA0822",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP DMERC",
            "identifier": "4901160002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. T'S RAILROAD MEDICARE",
            "identifier": "P00072603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. S'S RAILROAD MEDICARE",
            "identifier": "P00016824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Torrence and Schletzbaum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Weber Counseling Services, LLC
• Cherie Lyn Sauers, COTA
• William R Savage, MD
• Kathryn Sawchak, MD
• Bradley J Scheel, MD
• Jeffery J. Schletzbaum, O.D.
• Matthew Schlotterback, MD
• Bradley J Schmidt, OTR/L
• Jessica Danielle Schmidt, APRN
• Angel Christine Schmutz, CNM

• Optometrist in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.