Active NPI
Marc Landon Schmitt, O.D.
- Optometrist
- Portland, OR
National Provider Identifier
1669791695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3369ATI
- Practice address
- 2250 NW Lovejoy St
Portland, OR 97210-3020 - Phone
- (503) 719-5179
- Fax
- (971) 302-6934
- NPI assigned
- Jun 1, 2010
- Last updated
- Sep 9, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 3369ATI | OR | Primary |
Addresses
Primary practice location
2250 NW Lovejoy St
Portland, OR 97210-3020
Mailing address
2250 NW Lovejoy St
Portland, OR 97210-3020
Phone (503) 719-5179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 NW Lovejoy St
Portland, OR 97210-3020
Phone (503) 719-5179
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectacle LLC | Optometrist | Current | Accepting new patients |
| Spectacle LLC | Optometrist | Current | Accepting new patients |
| Lena Barghouti-Afranji & Associates Professional Corp | Optometrist | Past | Accepting new patients |
| Paul Stasik OD PC | Past | Accepting new patients | |
| Cea Acquisition LLC | Past | Accepting new patients |
Locations
2905 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 719-5179
Organizations & group practices 6
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
- Beaverton, OR
- NPI 1639646912
-
dba Barnes Professional Eye Care
- Corneal and Contact Management Optometrist
- Portland, OR
- NPI 1396750717
-
- Optometrist
- Vancouver, WA
- NPI 1184752198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1669791695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 NW LOVEJOY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103020",
"telephone_number": "503-719-5179",
"fax_number": "971-302-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 NW LOVEJOY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103020",
"telephone_number": "503-719-5179",
"fax_number": "971-302-6934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT",
"first_name": "MARC",
"middle_name": "LANDON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3369ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.
- 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.