Individual provider Active NPI

Emily Ly-Schroeder, O.D.

  • Optometrist
  • Flemington, NJ
National Provider Identifier
1629275052
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00596900 Issued in NJ
Practice address
44 Emery Ave Ste 2
Flemington, NJ 08822-1426
Phone
(908) 246-0392
Fax
(908) 450-1253
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00596900 NJ Primary

Addresses

Primary practice location

44 Emery Ave Ste 2
Flemington, NJ 08822-1426

Mailing address

44 Emery Ave Ste 2
Flemington, NJ 08822-1426
Phone (908) 246-0392

Other practice location 1

720 Route 202/206 Ste 1A
Bridgewater, NJ 08807-1746
Phone (908) 722-7777

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Flemington

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000395 NJ Practitioner - Optometry 0941341820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Walter E Foran Blvd
Suite 308
Flemington, NJ 08822-4668
Phone (908) 246-0392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Visionair Optometrist CurrentSince Jul 16, 2019 Accepting new patients
Barbara J Tarbell, OD Optometrist PastSince Jun 1, 2015 Accepting new patients

Locations

305 Omni Dr
Hillsborough, NJ 08844
Phone (610) 653-8849

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1629275052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 EMERY AVE STE 2",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221426",
            "telephone_number": "908-246-0392",
            "fax_number": "908-450-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 EMERY AVE STE 2",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221426",
            "telephone_number": "908-246-0392",
            "fax_number": "908-450-1253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Route 202/206 Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088071746",
            "country_code": "US",
            "telephone_number": "908-722-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY-SCHROEDER",
        "first_name": "EMILY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00596900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Flemington",
            "affiliation": "N",
            "address_1": "44 Emery Ave Ste 2",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088221426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.