Individual provider Active NPI

Jill R Schnurer, OD

  • Optometrist
  • Clarkston, MI
National Provider Identifier
1710053152
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
JS004204 Issued in MI
Practice address
3 E Washington St
Clarkston, MI 48346-1549
Phone
(248) 625-3500
Fax
(248) 625-0025
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X JS004204 MI Primary

Addresses

Primary practice location

3 E Washington St
Clarkston, MI 48346-1549

Mailing address

6466 Shappie Rd
Clarkston, MI 48348-1960
Phone (248) 625-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040212000129 MI Practitioner - Optometry 2466346184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smarch Eyecare Associates, PLLCGroup PAC ID 2860538980, 2 clinicians
Eyewear Detroit CompanyGroup PAC ID 3577832237, 2 clinicians

Practice addresses (Care Compare)

3 E Washington St
Clarkston, MI 48346-1549
Phone (248) 625-3500

48187 Van Dyke Ave
Shelby TWP, MI 48317-3268
Phone (586) 739-9550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JS004204MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Eyecare Associates PC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Smarch Eyecare Associates, PLLC Optometrist CurrentSince Aug 30, 2009 Accepting new patients
Associates in Ophthalmology PC PastSince Jan 1, 2001 Accepting new patients

Locations

3 E Washington St
Clarkston, MI 48346
Phone (248) 625-3500

6 Church St
Clarkston, MI 48346

48187 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 739-9550

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1710053152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6466 SHAPPIE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481960",
            "telephone_number": "248-625-3500",
            "fax_number": "248-625-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E WASHINGTON ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461549",
            "telephone_number": "248-625-3500",
            "fax_number": "248-625-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNURER",
        "first_name": "JILL",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "JS004204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.