Individual provider Active NPI

Matthew J Schroeder, OD

  • Optometrist
  • Casa Grande, AZ
National Provider Identifier
1750519419
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1684 Issued in AZ
Practice address
917 N Promenade Pkwy
Suite 101
Casa Grande, AZ 85294-5415
Phone
(520) 836-5794
Fax
(520) 374-2204
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1684 AZ Primary

Addresses

Primary practice location

917 N Promenade Pkwy
Suite 101
Casa Grande, AZ 85294-5415

Mailing address

545 S Broadway
Suite #500
Denver, CO 80209-4067
Phone (720) 570-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090825000782 AZ Practitioner - Optometry 3779638895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1684AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Jan 15, 2021 Accepting new patients
Visionworks Inc Past Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

2156 E Williams Field Rd
Gilbert, AZ 85295
Phone (480) 814-2583

4631 N Oracle Rd
Ste 175
Tucson, AZ 85705
Phone (520) 408-1200

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 3

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1750519419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 S BROADWAY",
            "address_2": "SUITE #500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094067",
            "telephone_number": "720-570-0660",
            "fax_number": "720-570-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N PROMENADE PKWY",
            "address_2": "SUITE 101",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852945415",
            "telephone_number": "520-836-5794",
            "fax_number": "520-374-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.