Active NPI
Christopher C Schnelle, O.D.
- Optometrist
- Woodbury, MN
National Provider Identifier
1760637409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3227
- Practice address
- 2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523 - Phone
- (651) 738-6800
- Fax
- (651) 714-6997
- NPI assigned
- Nov 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3162-035 | WI | |
| Optometrist | 152W00000X | 3227 | MN | Primary |
Addresses
Primary practice location
2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523
Mailing address
2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523
Phone (651) 738-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 E Mill St
Plymouth, WI 53073-1804
Phone (920) 893-8474
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3162-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare, SC | Optometrist | Current | Accepting new patients |
| Lenscrafters | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
300 E Mill St
Plymouth, WI 53073
Phone (920) 893-8474
Organizations & group practices 4
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
- Plymouth, WI
- NPI 1477659456
-
- Optometrist
- New Holstein, WI
- NPI 1346385291
-
- Optometrist
- Schaumburg, IL
- NPI 1356748594
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1760637409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 WOODWINDS DR",
"address_2": "SUITE 110",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252523",
"telephone_number": "651-738-6800",
"fax_number": "651-714-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 WOODWINDS DR",
"address_2": "SUITE 110",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252523",
"telephone_number": "651-738-6800",
"fax_number": "651-714-6997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNELLE",
"first_name": "CHRISTOPHER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-21",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3162-035",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.