Individual provider Active NPI

Thomas Jefferson Schell, O.D.

  • Optometrist
  • Wichita Falls, TX
National Provider Identifier
1669406187
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6242258-9934 Issued in UT
Practice address
4314 Kemp Blvd
Wichita Falls, TX 76308-3716
Phone
(940) 691-5645
NPI assigned
Jul 10, 2006
Last updated
Nov 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6242258-9934 UT Primary

Addresses

Primary practice location

4314 Kemp Blvd
Wichita Falls, TX 76308-3716

Mailing address

953 E 1420 N
American Fork, UT 84003-8856
Phone (801) 809-5841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130703000362 TX Practitioner - Optometry 2668661257 Reassigns benefits to 1 organization
I20230614002853 VA Practitioner - Optometry 2668661257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Eye Care Associates, PLLCGroup PAC ID 8426064916, 4 clinicians

Practice addresses (Care Compare)

800 E Stuart Dr
Galax, VA 24333-2321
Phone (276) 236-4171

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6242258-9934UTMDOptometrist
8136TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Eye Care Associates PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Clarke Eyecare Center, LLP Optometrist CurrentSince Jun 1, 2013 Accepting new patients
Vistar Eye Center, Inc Optometrist PastSince Jul 1, 2023 Accepting new patients

Locations

4314 Kemp Blvd
Wichita Falls, TX 76308
Phone (940) 691-5645

800 E Stuart Dr
Galax, VA 24333
Phone (276) 236-4171

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, 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1669406187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 E 1420 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840038856",
            "telephone_number": "801-809-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083716",
            "telephone_number": "940-691-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELL",
        "first_name": "THOMAS",
        "middle_name": "JEFFERSON",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "6242258-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.