Individual provider Active NPI

Jeffrey G Schmakel, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1750310371
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3372-T967 Issued in OH
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3372-T967OtherOHOPTOMETRIC LICENSE#
341897615OtherOHTAX ID # OD PRACTICE
201624211OtherOHVIP TAX ID#
03220OtherOHPARAMOUNT INSURANCE ID#
000000141689OtherOHANTHEM BC/BS ID#
1119160001OtherOHDMERC ID#
116749OtherOHEYEMED/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

LicenseStateTypeSpecialty
3372OHMDChiropractor
3372-T967OHMDCorneal 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.

Verify at the official NPI Registry.