Active NPI
Ansley Middleton Schuepbach, OD
- Optometrist
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6743
- 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
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 | 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6743 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Stackhouse MD PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.