Individual provider Active NPI

John Michael Schertzinger, O.D.

  • Optometrist
  • Hanson, KY
National Provider Identifier
1770679490
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1356DT Issued in KY
Practice address
420 Factory Outlet Dr
Hanson, KY 42413-9513
Phone
(270) 821-6870
NPI assigned
Oct 4, 2006
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003338A IN
Optometrist 152W00000X 1356DT KY Primary

Addresses

Primary practice location

420 Factory Outlet Dr
Hanson, KY 42413-9513

Mailing address

609 Ashbury Cir
Hopkinsville, KY 42240-5287
Phone (270) 315-9791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20041019000495 KY Practitioner - Optometry 2961462452 Practice locations: Hanson, KY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 Factory Outlet Dr
Hanson, KY 42413-9513
Phone (270) 821-6870

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003338AINMDOptometrist
1356DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Eye Care PLC Optometrist PastSince Oct 21, 2010 Accepting new patients
Aeg Kentucky Professional, PLLC Optometrist PastSince Apr 20, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1770679490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ASHBURY CIR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422405287",
            "telephone_number": "270-315-9791",
            "fax_number": "270-322-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FACTORY OUTLET DR",
            "city": "HANSON",
            "state": "KY",
            "postal_code": "424139513",
            "telephone_number": "270-821-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTZINGER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003338A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1356DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanson, KY

Sources for this page

Verify at the official NPI Registry.