Individual provider Active NPI

Christopher C Schnelle, O.D.

  • Optometrist
  • Woodbury, MN
National Provider Identifier
1760637409
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3227 Issued in MN
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

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000517 WI Practitioner - Optometry 9638232481 Reassigns benefits to 2 organizations

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
Advanced Eyecare, SCGroup PAC ID 3971624909, 3 clinicians

Practice addresses (Care Compare)

300 E Mill St
Plymouth, WI 53073-1804
Phone (920) 893-8474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3162-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare, SC Optometrist CurrentSince Jul 6, 2023 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.

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

Verify at the official NPI Registry.