Active NPI
Schmitzer Eyecare, P.C.
Doing business as Grand Ledge Optometry, P.C.
- Optometrist
- Grand Ledge, MI
National Provider Identifier
1558401893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2766634 | Other | MI | UNITED HEALTHCARE |
| 4986361 | Medicaid | MI | |
| 900B311150 | Other | MI | BLUE CROSS BLUE SHIELD |
| 900B311320 | Other | MI | BCBS OF MICHIGAN |
| 200000007557 | Other | MI | PHP OF MID MICHIGAN |
| 7323885 | Other | MI | AETNA |
Other names 1
- Grand Ledge Optometry, P.C.
National Provider Directory
National Provider DirectoryNPI 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.