Individual provider Active NPI

Andrew H. Schmitzer, O.D.

  • Optometrist
  • Grand Ledge, MI
National Provider Identifier
1841280641
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004026 Issued in MI
Practice address
11973 Sweetwater Dr
Grand Ledge, MI 48837-9196
Phone
(517) 622-2020
Fax
(517) 627-4397
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004026 MI Primary

Addresses

Primary practice location

11973 Sweetwater Dr
Grand Ledge, MI 48837-9196

Mailing address

11973 Sweetwater Dr
Grand Ledge, MI 48837-9196
Phone (517) 622-2020

Other identifiers 5

IdentifierTypeStateIssuer
900B311150OtherMIBLUE CROSS BLUE SHIELD
7323885OtherMIAETNA
200000007557OtherMIPHP OF MID MICHIGAN
4986361MedicaidMI
2614422OtherMIUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050912000083 MI Practitioner - Optometry 9931132925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Michigan Professional LLCGroup PAC ID 7113395864, 23 clinicians

Practice addresses (Care Compare)

11973 Sweetwater Dr
Suite B
Grand Ledge, MI 48837-8749
Phone (517) 622-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Michigan Professional LLC Optometrist CurrentSince Mar 14, 2025 Accepting new patients
Professional Eyecare Center Optometrist Past Accepting new patients
Kenzie Eye Care Inc. Optometrist Past Accepting new patients
Suburban Optometrics Assoc P C Optometrist Past Accepting new patients
Kenzie Eye Care Inc. Optometrist Past Accepting new patients

Locations

11973 Sweetwater Dr
Ste B
Grand Ledge, MI 48837
Phone (517) 622-2020

32415 5 Mile Rd
Livonia, MI 48154
Phone (734) 525-8170

123 S Shiawassee St
Owosso, MI 48867
Phone (989) 725-8422

Interoperability endpoints

  • Direct secure messaging: doc@gloptometry.emadirect.md

Organizations & group practices 5

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1841280641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11973 SWEETWATER DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379196",
            "telephone_number": "517-622-2020",
            "fax_number": "517-627-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11973 SWEETWATER DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379196",
            "telephone_number": "517-622-2020",
            "fax_number": "517-627-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZER",
        "first_name": "ANDREW",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900B311150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7323885",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF MID MICHIGAN",
            "identifier": "200000007557",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4986361",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2614422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

Verify at the official NPI Registry.