Individual provider Active NPI

Richard John Schroeder, O.D

  • Optometrist
  • Durango, CO
National Provider Identifier
1528049012
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003425 Issued in CO
Practice address
1845 Main Ave
Durango, CO 81301-5035
Phone
(970) 259-1789
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003425 CO Primary

Addresses

Primary practice location

1845 Main Ave
Durango, CO 81301-5035

Mailing address

1845 Main Ave
Durango, CO 81301-5035
Phone (970) 259-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20190327002981 CO Practitioner - Optometry 3072406727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Animas Eye Care PCGroup PAC ID 7911134010, 2 clinicians

Practice addresses (Care Compare)

1845 Main Ave
Durango, CO 81301-5035
Phone (970) 259-1789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003425COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Eye Care, PC Optometrist CurrentSince May 1, 2019 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist PastSince Jul 1, 2008 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Past Accepting new patients

Locations

1845 Main Ave
Durango, CO 81301
Phone (970) 259-1789

Interoperability endpoints

  • Direct secure messaging: rschroeder@direct.eyecare-partners.com

Organizations & group practices 3

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1528049012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015035",
            "telephone_number": "970-259-1789",
            "fax_number": "970-259-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015035",
            "telephone_number": "970-259-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.