Active NPI
Jeffrey G Schmakel, O.D.
- Optometrist
- Toledo, OH
National Provider Identifier
1750310371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3372-T967
- Practice address
- 3454 Oak Alley CT
Ste 202
Toledo, OH 43606-1370 - Phone
- (419) 578-0057
- Fax
- (419) 578-0061
- NPI assigned
- Jul 3, 2006
- Last updated
- Dec 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3372-T967 | OH | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 3372-T967 | OH | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 3372-T967 | OH | |
| Pediatric Optometrist | 152WP0200X | 3372-T967 | OH | |
| Sports Vision Optometrist | 152WS0006X | 3372-T967 | OH | |
| Vision Therapy Optometrist | 152WV0400X | 3372-T967 | OH | |
| Occupational Vision Optometrist | 152WX0102X | 3372-T967 | OH |
Addresses
Primary practice location
3454 Oak Alley CT
Ste 202
Toledo, OH 43606-1370
Mailing address
2237 Kingston Dr
Maumee, OH 43537-1122
Phone (419) 867-1819
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3372-T967 | Other | OH | OPTOMETRIC LICENSE# |
| 341897615 | Other | OH | TAX ID # OD PRACTICE |
| 201624211 | Other | OH | VIP TAX ID# |
| 03220 | Other | OH | PARAMOUNT INSURANCE ID# |
| 000000141689 | Other | OH | ANTHEM BC/BS ID# |
| 1119160001 | Other | OH | DMERC ID# |
| 116749 | Other | OH | EYEMED/ECPA ID # |
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 |
|---|---|---|---|
| 3372 | OH | MD | Chiropractor |
| 3372-T967 | OH | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1750310371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2237 KINGSTON DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371122",
"telephone_number": "419-867-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT",
"address_2": "STE 202",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061370",
"telephone_number": "419-578-0057",
"fax_number": "419-578-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMAKEL",
"first_name": "JEFFREY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3372-T967",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "3372-T967",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "OH",
"license": "3372-T967",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OH",
"license": "3372-T967",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OH",
"license": "3372-T967",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OH",
"license": "3372-T967",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OH",
"license": "3372-T967",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIC LICENSE#",
"identifier": "3372-T967",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID # OD PRACTICE",
"identifier": "341897615",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIP TAX ID#",
"identifier": "201624211",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT INSURANCE ID#",
"identifier": "03220",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS ID#",
"identifier": "000000141689",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC ID#",
"identifier": "1119160001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED/ECPA ID #",
"identifier": "116749",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.