Individual provider Active NPI

Scott L Schomaker, O.D.

  • Optometrist
  • Cedar Springs, MI
National Provider Identifier
1720150824
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003121 Issued in MI
Practice address
26 S Main
Cedar Springs, MI 49319-8936
Phone
(616) 696-0830
Fax
(616) 696-4724
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003121 MI Primary

Addresses

Primary practice location

26 S Main
Cedar Springs, MI 49319-8936

Mailing address

26 S Main
P.O. Box 683
Cedar Springs, MI 49319-8936
Phone (616) 696-0830

Other identifiers 1

IdentifierTypeStateIssuer
3403115MedicaidMI

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
I20031208000350 MI Practitioner - Optometry 1456257971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferris State UniversityGroup PAC ID 3971572124, 27 clinicians

Practice addresses (Care Compare)

1124 S State St
Big Rapids, MI 49307-2256

26 S Main St
Cedar Springs, MI 49319-5118
Phone (616) 696-0830

PO Box
Suite 683
Cedar Springs, MI 49319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Springs Eye Care Inc Optometrist CurrentSince Oct 3, 1997 Accepting new patients

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720150824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S MAIN",
            "address_2": "P.O. BOX 683",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198936",
            "telephone_number": "616-696-0830",
            "fax_number": "616-696-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S MAIN",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198936",
            "telephone_number": "616-696-0830",
            "fax_number": "616-696-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMAKER",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403115",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

Verify at the official NPI Registry.