Individual provider Active NPI

Justin Scheiter, O.D.

  • Optometrist
  • Alton, IL
National Provider Identifier
1699809368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
2415 Homer M Adams Pkwy
Alton, IL 62002-5615
Phone
(618) 465-1712
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

2415 Homer M Adams Pkwy
Alton, IL 62002-5615

Mailing address

2415 Homer M Adams Pkwy
P.O. Box 598
Alton, IL 62002-5615
Phone (618) 465-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140113000798 IL Practitioner - Optometry 3274761556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2415 Homer M Adams Pkwy
Alton, IL 62002-5615
Phone (618) 465-1712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008814ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heitz Optical Inc CurrentSince Nov 27, 2013 Accepting new patients

Locations

2415 Homer M Adams Pkwy
Alton, IL 62002
Phone (618) 465-1712

Organizations & group practices 1

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699809368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 HOMER M ADAMS PKWY",
            "address_2": "P.O. BOX 598",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025615",
            "telephone_number": "618-465-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HOMER M ADAMS PKWY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025615",
            "telephone_number": "618-465-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEITER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.