Active NPI
Matthew Clinton Schwamb, O.D.
- Optometrist
- Saint Louis, MO
National Provider Identifier
1609130434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2012017908
- Practice address
- 917 Olive St
Saint Louis, MO 63101-1418 - Phone
- (314) 621-5303
- Fax
- (314) 621-7011
- NPI assigned
- Jun 26, 2012
- 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 | 2012017908 | MO | Primary |
Addresses
Primary practice location
917 Olive St
Saint Louis, MO 63101-1418
Mailing address
40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 Zumbehl Rd
Saint Charles, MO 63303-2724
Phone (636) 949-2906
3122 S Grand Blvd
The Spec Shoppe
St Louis, MO 63118-1012
Phone (314) 450-7313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012017908 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Eyecare | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- matthewschwamb@direct.eyecare-partners.com
Organizations & group practices 2
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
- Ellisville, MO
- NPI 1497155345
-
- Optometrist
- Eureka, MO
- NPI 1205817731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1609130434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 E NORTH ST",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251205",
"telephone_number": "636-200-4393",
"fax_number": "636-938-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 OLIVE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631011418",
"telephone_number": "314-621-5303",
"fax_number": "314-621-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAMB",
"first_name": "MATTHEW",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2012017908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.
- 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.