Active NPI
Andrew H. Schmitzer, O.D.
- Optometrist
- Grand Ledge, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900B311150 | Other | MI | BLUE CROSS BLUE SHIELD |
| 7323885 | Other | MI | AETNA |
| 200000007557 | Other | MI | PHP OF MID MICHIGAN |
| 4986361 | Medicaid | MI | |
| 2614422 | Other | MI | UNITED 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
Enrollment records 1
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
Practice addresses (Care Compare)
11973 Sweetwater Dr
Suite B
Grand Ledge, MI 48837-8749
Phone (517) 622-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Michigan Professional LLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Chesaning, MI
- NPI 1053032912
-
- Optometrist
- Canton, MI
- NPI 1215012356
-
- Optometrist
- Garden City, MI
- NPI 1588857684
-
- Optometrist
- East Lansing, MI
- NPI 1841411485
-
- Optometrist
- Livonia, MI
- NPI 1952518748
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.