Jacob Francis Schmitt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003677A Issued in IN

Practice address

6436 E. Florida Street
Suite 102
Evansville, IN 47715

Phone

(812) 200-8112

Fax

(812) 200-2823

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Southern College of Optometry, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Keen Eyecare Consultants IncGroup PAC ID 0749458453, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keen Eyecare Consultants Inc.

  • Optometrist
  • Evansville, IN
  • NPI 1356639843
  Medicare reassignment Care Compare group NPD Authorized official
• Onhealthcare LLC

  dba OnHealthcare Podiatry

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1871880815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8115",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477168115",
            "telephone_number": "812-200-8112",
            "fax_number": "812-200-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 E. FLORIDA STREET",
            "address_2": "SUITE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47715",
            "telephone_number": "812-200-8112",
            "fax_number": "812-200-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Green River Rd",
            "address_2": "Keen Eyecare Consultants Inc.",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477152471",
            "country_code": "US",
            "telephone_number": "812-477-4356",
            "fax_number": "812-477-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "JACOB",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003677A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "M400050655",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Lynne Schmidt, MSN, RN, FNP-C
• Larissa Nelle Schmidt, RN
• Sierra Schmidt, MS, CCC-SLP
• Caleb D Schmitt, FNP
• Cody Schmitt, DC
• Jessica L Schmitt, NP
• Jorryn Marie Schmitt, DC
• Joshua D Schmitt, DO
• Keith A Schmitt, RPH
• Lauren Marie Schmitt, OTR/L

• Optometrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.
• 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.

Verify at the official NPI Registry.