Active NPI
James L Schmonsky III, OD
- Optometrist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1643-035
- Practice address
- 2430 E Mason St
Green Bay, WI 54302-3759 - Phone
- (920) 468-4642
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1643-035 | WI | Primary |
Addresses
Primary practice location
2430 E Mason St
Green Bay, WI 54302-3759
Mailing address
3498 Buyarski Rd
Green Bay, WI 54311-9452
Phone (920) 863-1763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38403100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1643-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shopko Stores Operating Co LLC | Past | Accepting new patients |
Locations
1150 W Washington St
#10
Marquette, MI 49855
Phone (906) 225-8412
1033 W Northland Ave
Ste B
Appleton, WI 54914
Phone (920) 731-4511
1490 Oneida St
Appleton, WI 54915
Phone (920) 725-3752
3525 E Calumet St
Ste 1400
Appleton, WI 54915
Phone (920) 788-4114
1073 E Johnson St
Fond du Lac, WI 54935
Phone (920) 375-5483
N6663 Rolling Meadows Dr
Ste I
Fond du Lac, WI 54937
Phone (920) 921-8290
2268 W Mason St
Green Bay, WI 54303
Phone (920) 259-7068
2360 Costco Way
Ste 120
Green Bay, WI 54311
Phone (920) 468-4642
2430 E Mason St
Green Bay, WI 54302
Phone (920) 468-4642
2621 S Oneida St
Ste 104
Green Bay, WI 54304
Phone (920) 499-3511
3415 Calumet Ave
#3
Manitowoc, WI 54220
Phone (920) 683-2244
6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420
1154 Westowne Dr
Neenah, WI 54956
Phone (920) 751-0275
1212 S Koeller St
Oshkosh, WI 54902
Phone (920) 426-5730
1810 Jackson St
Oshkosh, WI 54901
Phone (920) 385-1262
4097 Highway 28
Unit 2
Sheboygan Falls, WI 53085
Phone (920) 458-5757
2314 Lineville Rd
Ste 104
Suamico, WI 54313
Phone (920) 434-5845
1745 S Main St
Unit 7
West Bend, WI 53095
Phone (262) 334-7077
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Green Bay, WI
- NPI 1962452052
-
dba Fielmann Vision Care 4313
- Eyewear Supplier
- Rockford, IL
- NPI 1467311142
Optometrist
-
dba ShopKo Pharmacy 024
- Community/Retail Pharmacy
- Eau Claire, WI
- NPI 1720034176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609896042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3498 BUYARSKI RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543119452",
"telephone_number": "920-863-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 E MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543023759",
"telephone_number": "920-468-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMONSKY",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1643-035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38403100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.