Individual provider Active NPI

James L Schmonsky III, OD

  • Optometrist
  • Green Bay, WI
National Provider Identifier
1609896042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1643-035 Issued in WI
Practice address
2430 E Mason St
Green Bay, WI 54302-3759
Phone
(920) 468-4642
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38403100MedicaidWI

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1643-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 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.

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

Verify at the official NPI Registry.