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
- Last updated
- Jul 9, 2007
- 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 |
| 2519 | WI | MD | Family Nurse Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.