Active NPI
Donald A Schlomer, M.D.
- Ophthalmology Physician
- Pueblo, CO
National Provider Identifier
1700836210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 26554
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01265545 | Medicaid | CO | |
| K2068 | Other | CO | FEDERAL BCBS |
| 0452890001 | Other | CO | MEDICARE DMERC |
| K2068 | Other | CO | ANTHEM BCBS |
| 180004917 | Other | CO | MEDICARE DMERC |
| 608439600 | Other | CO | US DEPT LABOR WORK COMP |
| CO6554 | Other | CO | EYEMED 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26554 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Eye Center, Inc. a Colorado Provider Network | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Pueblo, CO
- NPI 1073567459
-
- Optometrist
- Canon City, CO
- NPI 1831251891
Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Pueblo, CO
- NPI 1285608075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.