Active NPI
Carolyn T Schneider-Donley, OD
- Optometrist
- Watertown, WI
National Provider Identifier
1720161284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2519-035
- Practice address
- 622 N. Church Street
Watertown, WI 53098 - Phone
- (920) 262-9200
- Fax
- (920) 262-8915
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- 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 | 2519-035 | WI | Primary |
Addresses
Primary practice location
622 N. Church Street
Watertown, WI 53098
Mailing address
11103 West Avenue
Suite 6
San Antonio, TX 78213
Phone (210) 524-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2519-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stein Optical Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Milwaukee, WI
- NPI 1801829551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1720161284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVENUE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78213",
"telephone_number": "210-524-6803",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 N. CHURCH STREET",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "53098",
"telephone_number": "920-262-9200",
"fax_number": "920-262-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER-DONLEY",
"first_name": "CAROLYN",
"middle_name": "T",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2519-035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.