Organization Active NPI

DRS Schindler & Deis PC

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1609894054
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
397 Issued in ND
Legal business name
DRS SCHINDLER & DEIS PC
Practice address
204 W Century Ave
Bismarck, ND 58503-1494
Phone
(701) 255-0186
Fax
(701) 255-3975
NPI assigned
Jul 17, 2006
Last updated
Jan 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Keith L Schindler, ODNPI 1386776052
Title
Owner
Phone
(701) 255-0186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 517 ND
Optometrist 152W00000X 707 ND
Optometrist 152W00000X 397 ND Primary

Addresses

Primary practice location

204 W Century Ave
Bismarck, ND 58503-1494

Mailing address

204 W Century Ave
Bismarck, ND 58503-1494
Phone (701) 255-0186

Other identifiers 11

IdentifierTypeStateIssuer
800397OtherNDND VISION SERVICES DR SCH
005179OtherNDBCBS DR DEIS
00838001OtherNDND VISION SERVICES GRP
60277MedicaidND
800517OtherNDND VISION SERVICES DR DEI
00487001OtherBCBS GROUP
60453MedicaidND
007351OtherNDBCBS DR SCHINDLER
1619317724OtherNDBCBS DR. HELLEBUSH
60621MedicaidND
60725MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050831000860 ND Part B Supplier - Clinic/Group Practice 8022040807 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bismarck, ND; Garrison, ND
O20100930097945 ND DME Supplier - Physician - Optometrist 8022040807 Practice locations: Bismarck, ND

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
DRS Schindler & Deis PC204 W Century Ave, Bismarck, ND 58503-1494(701) 255-0186 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 5, 2005

National Provider Directory

National Provider Directory
Tax ID family
DRS Schindler Deis PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

204 W Century Ave
Bismarck, ND 58503
Phone (701) 255-0186

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1609894054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031494",
            "telephone_number": "701-255-0186",
            "fax_number": "701-255-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031494",
            "telephone_number": "701-255-0186",
            "fax_number": "701-255-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SCHINDLER & DEIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHINDLER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-255-0186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "517",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "707",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION SERVICES DR SCH",
            "identifier": "800397",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR DEIS",
            "identifier": "005179",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION SERVICES GRP",
            "identifier": "00838001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60277",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION SERVICES DR DEI",
            "identifier": "800517",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "00487001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60453",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR SCHINDLER",
            "identifier": "007351",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR. HELLEBUSH",
            "identifier": "1619317724",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60621",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60725",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.