NPIMap

Organization Active NPI

Tracey a Schmucker MD PA

  • Ophthalmology Physician
  • Searcy, AR
National Provider Identifier
1669826426
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E3864 Issued in AR
Legal business name
TRACEY A SCHMUCKER MD PA
Practice address
105 Central Ave
Searcy, AR 72143-7329
Phone
(501) 268-7154
Fax
(501) 268-9071
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Dr. Tracey A Schmucker, M.D.NPI 1902805534
Title
President
Phone
(501) 268-7154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X E3864 AR Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

105 Central Ave
Searcy, AR 72143-7329

Mailing address

105 Central Ave
Searcy, AR 72143-7329
Phone (501) 268-7154

Other names 1

  • Lowery Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160907002270 AR Part B Supplier - Clinic/Group Practice 1658682554 Receives reassigned benefits from 1 practitioner
Practice locations: Searcy, AR
O20170210000643 AR DME Supplier - Physician - OphthalmologyDME Supplier - Optician 1658682554 Practice locations: Searcy, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tracey a Schmucker MD PA Dba Lowery105 Central Ave, Searcy, AR 72143-7329(501) 268-1532 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 1, 2014

National Provider Directory

National Provider Directory
Tax ID family
Tracey a Schmucker MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1669826426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437329",
            "telephone_number": "501-268-7154",
            "fax_number": "501-268-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437329",
            "telephone_number": "501-268-7154",
            "fax_number": "501-268-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY A SCHMUCKER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "SCHMUCKER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-268-7154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E3864",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowery Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.