Organization Active NPI

Schmitzer Eyecare, P.C.

Doing business as Grand Ledge Optometry, P.C.

  • Optometrist
  • Grand Ledge, MI
National Provider Identifier
1558401893
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SCHMITZER EYECARE, P.C.
Doing business as
Grand Ledge Optometry, P.C.
Practice address
11973 Sweetwater Dr
Grand Ledge, MI 48837-9196
Phone
(517) 622-2020
Fax
(517) 627-4397
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Andrew H. Schmitzer, O.D.
Title
Optometrist, President
Phone
(517) 622-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

11973 Sweetwater Dr
Grand Ledge, MI 48837-9196

Mailing address

11973 Sweetwater Dr
Grand Ledge, MI 48837-9196
Phone (517) 622-2020

Other identifiers 6

IdentifierTypeStateIssuer
2766634OtherMIUNITED HEALTHCARE
4986361MedicaidMI
900B311150OtherMIBLUE CROSS BLUE SHIELD
900B311320OtherMIBCBS OF MICHIGAN
200000007557OtherMIPHP OF MID MICHIGAN
7323885OtherMIAETNA

Other names 1

  • Grand Ledge Optometry, P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1558401893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11973 SWEETWATER DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379196",
            "telephone_number": "517-622-2020",
            "fax_number": "517-627-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11973 SWEETWATER DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379196",
            "telephone_number": "517-622-2020",
            "fax_number": "517-627-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHMITZER EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "SCHMITZER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OPTOMETRIST, PRESIDENT",
        "authorized_official_telephone_number": "517-622-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2766634",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4986361",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900B311150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900B311320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF MID MICHIGAN",
            "identifier": "200000007557",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7323885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Ledge Optometry, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.