Individual provider Active NPI

Donald A Schlomer, M.D.

  • Ophthalmology Physician
  • Pueblo, CO
National Provider Identifier
1700836210
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26554 Issued in CO
Practice address
27 Montebello Rd
Pueblo, CO 81001-1236
Phone
(719) 545-1530
Fax
(719) 545-2899
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26554 CO Primary

Addresses

Primary practice location

27 Montebello Rd
Pueblo, CO 81001-1236

Mailing address

27 Montebello Rd
Pueblo, CO 81001-1236
Phone (719) 545-1530

Other identifiers 7

IdentifierTypeStateIssuer
01265545MedicaidCO
K2068OtherCOFEDERAL BCBS
0452890001OtherCOMEDICARE DMERC
K2068OtherCOANTHEM BCBS
180004917OtherCOMEDICARE DMERC
608439600OtherCOUS DEPT LABOR WORK COMP
CO6554OtherCOEYEMED EYECARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26554COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Eye Center, Inc. a Colorado Provider Network Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients
Rocky Mountain Eye Center Inc a Colorado Provider Network Ophthalmology Current Accepting new patients
Pueblo Co Ophthalmology ASC LLC Past Accepting new patients

Locations

27 Montebello Rd
Pueblo, CO 81001
Phone (719) 545-1530

3954 Sandalwood Ln
Pueblo, CO 81005
Phone (719) 561-2244

1402 Fortino Blvd
Pueblo, CO 81008
Phone (719) 404-4040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1700836210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MONTEBELLO RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011236",
            "telephone_number": "719-545-1530",
            "fax_number": "719-545-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MONTEBELLO RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011236",
            "telephone_number": "719-545-1530",
            "fax_number": "719-545-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOMER",
        "first_name": "DONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "26554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01265545",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "K2068",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0452890001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "K2068",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "180004917",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR WORK COMP",
            "identifier": "608439600",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED  EYECARE",
            "identifier": "CO6554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.