Individual provider Active NPI

Ansley Middleton Schuepbach, OD

  • Optometrist
  • Fernandina Beach, FL
National Provider Identifier
1891680088
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6743 Issued in FL
Practice address
6 S 14TH St
Fernandina Beach, FL 32034-3212
Phone
(904) 261-5741
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6743 FL Primary

Addresses

Primary practice location

6 S 14TH St
Fernandina Beach, FL 32034-3212

Mailing address

1610 Sandpiper CT
Saint Marys, GA 31558-4187
Phone (912) 227-0675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250624003400 FL Practitioner - Optometry 9931611019 Reassigns benefits to 1 organization
I20250630001765 GA Practitioner - Optometry 9931611019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Stackhouse MD PAGroup PAC ID 9133473325, 13 clinicians

Practice addresses (Care Compare)

2900 Saint Marys Rd
Saint Marys, GA 31558-4562
Phone (904) 261-5741

6 S 14TH St
Fernandina, FL 32034-3212
Phone 9042615741134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OPC6743FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Stackhouse MD PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

542069 US Highway 1
Callahan, FL 32011
Phone (904) 879-2020

6 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-5741

2416 Lynndale Rd
Ste 201
Fernandina Beach, FL 32034
Phone 9042615741134

2900 Saint Marys Rd
Saint Marys, GA 31558
Phone (904) 261-5741

1730 Brunswick Hwy
Waycross, GA 31501
Phone (904) 261-5741

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1891680088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 SANDPIPER CT",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584187",
            "telephone_number": "912-227-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343212",
            "telephone_number": "904-261-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUEPBACH",
        "first_name": "ANSLEY",
        "middle_name": "MIDDLETON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.