Active NPI
Mathew J. Schuller, OD
- Optometrist
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2839
- Practice address
- 3720 N 124TH St
Suite F
Wauwatosa, WI 53222-2100 - Phone
- (414) 535-8134
- Fax
- (414) 535-8135
- NPI assigned
- Dec 4, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2839 | WI | Primary |
Addresses
Primary practice location
3720 N 124TH St
Suite F
Wauwatosa, WI 53222-2100
Mailing address
607 Wilson St
Little Chute, WI 54140-1856
Phone (920) 788-4162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3525 E Calumet St
Suite 1400
Appleton, WI 54915-4181
Phone (920) 788-4114
607 Wilson St
Little Chute, WI 54140-1856
Phone (920) 788-4162
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2839 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
Locations
3525 E Calumet St
Ste 1400
Appleton, WI 54915
Phone (920) 788-4114
6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420
Organizations & group practices 4
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.
-
- Optometrist
- Little Chute, WI
- NPI 1245661875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1710045927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 WILSON ST",
"city": "LITTLE CHUTE",
"state": "WI",
"postal_code": "541401856",
"telephone_number": "920-788-4162",
"fax_number": "920-788-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 N 124TH ST",
"address_2": "SUITE F",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532222100",
"telephone_number": "414-535-8134",
"fax_number": "414-535-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULLER",
"first_name": "MATHEW",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.
- 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.