Michael Masao Schmalle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002691 Issued in AZ

Practice address

10285 W McDowell Rd Ste A102
Avondale, AZ 85392-5013

Phone

(623) 907-8730

NPI assigned

Apr 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tom Sowash OD & Associates PC

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  Medicare reassignment NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1871281345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 E ONZA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10285 W MCDOWELL RD STE A102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925013",
            "telephone_number": "623-907-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALLE",
        "first_name": "MICHAEL",
        "middle_name": "MASAO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ryan Schaner
• Ann Marie Schelonka
• Tyler Scherwinski
• Dominique Schirripa
• Suzanne Schlacks, PA-C
• Erika Jewell Schmidt
• Shawn Schmuki
• Rebecca Schnakenberg, LPC
• Abigail Schneider
• Adrienne C Scott, MS OTR/L

• Optometrist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.