Active NPI
Richard E Schuck, O.D.
- Optometrist
- Fort Thomas, KY
National Provider Identifier
1528093390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0772DT
- Practice address
- 92 Alexandria Pike
Fort Thomas, KY 41075-1729 - Phone
- (859) 781-2000
- Fax
- (859) 781-8122
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0772DT | KY | Primary |
Addresses
Primary practice location
92 Alexandria Pike
Fort Thomas, KY 41075-1729
Mailing address
92 Alexandria Pike
Fort Thomas, KY 41075-1729
Phone (859) 781-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77007722 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunderman Dowdall | Optometrist | Current | Accepting new patients |
Locations
92 Alexandria Pike
Fort Thomas, KY 41075
Phone (859) 441-3400
Organizations & group practices 1
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
- Fort Thomas, KY
- NPI 1275292773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1528093390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 ALEXANDRIA PIKE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751729",
"telephone_number": "859-781-2000",
"fax_number": "859-781-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 ALEXANDRIA PIKE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751729",
"telephone_number": "859-781-2000",
"fax_number": "859-781-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUCK",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "0772DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77007722",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.