Active NPI
Shea Schmidt, OD
- Optometrist
- Jenks, OK
National Provider Identifier
1891340253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3038
- Practice address
- 317 E Aquarium PL
Jenks, OK 74037-6811 - Phone
- (918) 296-4733
- NPI assigned
- Aug 2, 2019
- Last updated
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 3038 | OK | Primary |
Addresses
Primary practice location
317 E Aquarium PL
Jenks, OK 74037-6811
Mailing address
317 E Aquarium PL
Jenks, OK 74037-6811
Phone (918) 296-4733
Other practice location 1
433 Stone Wood Dr
Broken Arrow, OK 74012-1026
Phone (918) 615-2696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 E Aquarium PL
Jenks, OK 74037-6811
Phone (918) 296-4733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3038 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Rock Eyecare PLLC | Optometrist | Current | Accepting new patients |
Locations
433 Stone Wood Dr
Broken Arrow, OK 74012
Phone (918) 615-2696
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1891340253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E AQUARIUM PL",
"city": "JENKS",
"state": "OK",
"postal_code": "740376811",
"telephone_number": "918-296-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E AQUARIUM PL",
"city": "JENKS",
"state": "OK",
"postal_code": "740376811",
"telephone_number": "918-296-4733"
}
],
"practiceLocations": [
{
"address_1": "433 Stone Wood Dr",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740121026",
"country_code": "US",
"telephone_number": "918-615-2696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDT",
"first_name": "SHEA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.