Individual provider Active NPI

Mathew J. Schuller, OD

  • Optometrist
  • Wauwatosa, WI
National Provider Identifier
1710045927
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2839 Issued in WI
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

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000596 WI Practitioner - Optometry 0244260032 Reassigns benefits to 2 organizations

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
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2839WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince Aug 29, 2025 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Aug 29, 2025 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.

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

Verify at the official NPI Registry.