Individual provider Active NPI

Jonathan Mark Schonfeld, O.D.

  • Optometrist
  • Medina, OH
National Provider Identifier
1689676645
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4968/T1838 Issued in OH
Practice address
409 N Court St
Medina, OH 44256-1869
Phone
(330) 725-4680
Fax
(330) 633-7165
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4968/T1838 OH Primary

Addresses

Primary practice location

409 N Court St
Medina, OH 44256-1869

Mailing address

PO Box 207170
Dallas, TX 75320-7173
Phone (636) 200-4393

Other practice location 1

6801 Pearl Rd
Middleburg Heights, OH 44130-3616
Phone (440) 845-3006

Other identifiers 1

IdentifierTypeStateIssuer
3122409MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100129000096 OH Practitioner - Optometry 3779593645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pycraft Family Eye Care LTDGroup PAC ID 3072872621, 3 clinicians

Practice addresses (Care Compare)

470 E Milltown Rd
Suite B
Wooster, OH 44691-1250
Phone (330) 601-0393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4968/T1838OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pycraft Family Eye Care LTD Optometrist Current Accepting new patients
Pycraft Family Eye Care LTD Optometrist CurrentSince May 1, 2024 Accepting new patients
Cleveland Vision Center II LLC Optometrist CurrentSince Mar 1, 2015 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jun 16, 2021 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients

Locations

1650 S Union Ave
Alliance, OH 44601
Phone (330) 630-9699

8118 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 891-9030

1720 Paradise Rd
Orrville, OH 44667
Phone (330) 682-1276

106 N Main St
Orrville, OH 44667
Phone (330) 682-1276

6204 Brookpark Rd
Parma, OH 44129
Phone (216) 351-6270

6390 Pearl Rd
Parma Heights, OH 44130
Phone (216) 291-3550

470 E Milltown Rd
#B
Wooster, OH 44691
Phone (330) 345-8300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1689676645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207173",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N COURT ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561869",
            "telephone_number": "330-725-4680",
            "fax_number": "330-633-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Pearl Rd",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303616",
            "country_code": "US",
            "telephone_number": "440-845-3006",
            "fax_number": "440-884-5951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHONFELD",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4968/T1838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122409",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.