Individual provider Active NPI

Emily Suzanne Dold Schwartz, O.D.

  • Optometrist
  • Saint Cloud, MN
National Provider Identifier
1790857472
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
LD3013000 Issued in MN
Practice address
901W Saint Germain St
Saint Cloud, MN 56301-3460
Phone
(320) 252-5404
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X LD3013000 MN Primary

Addresses

Primary practice location

901W Saint Germain St
Saint Cloud, MN 56301-3460

Mailing address

10205 101St Street NE
Otsego, MN 55362
Phone (612) 205-6238

Other names 1

  • Ms. Emily Dold Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20051005000512 MN Practitioner - Optometry 5890720122 Practice locations: Saint Cloud, MN; Albertville, MN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 W Saint Germain St
Saint Cloud, MN 56301-3460
Phone (320) 252-5404

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD3013000MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily S Schwartz Optometrist CurrentSince Oct 20, 2011 Accepting new patients
Centrasota Eye Care, Inc Optometrist Past Accepting new patients
Usv Optical Inc Optometrist Past Accepting new patients
Ife - MN, Inc Optometrist PastSince Jun 15, 2011 Accepting new patients

Locations

901 W Saint Germain St
Saint Cloud, MN 56301
Phone (320) 251-0020

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1790857472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 101ST STREET NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "612-205-6238",
            "fax_number": "763-497-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901W SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013460",
            "telephone_number": "320-252-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "EMILY",
        "middle_name": "SUZANNE DOLD",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "LD3013000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "DOLD",
            "prefix": "MS.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.