Individual provider Active NPI

Michael Paul Scheidler, O.D.

  • Optometrist
  • Crawfordsville, IN
National Provider Identifier
1912068099
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002838A Issued in IN
Practice address
109 E Main St
Crawfordsville, IN 47933-1710
Phone
(765) 362-2706
Fax
(765) 362-2985
NPI assigned
Dec 13, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002838A IN Primary
Corneal and Contact Management Optometrist 152WC0802X 18002838A IN
Low Vision Rehabilitation Optometrist 152WL0500X 18002838A IN
Pediatric Optometrist 152WP0200X 18002838A IN
Vision Therapy Optometrist 152WV0400X 18002838A IN

Addresses

Primary practice location

109 E Main St
Crawfordsville, IN 47933-1710

Mailing address

109 East Main Street
Crawfordsville, IN 47933
Phone (765) 362-2706

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111212000865 IN Practitioner - Optometry 5799950291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sugar Creek Eyecare, P.C.Group PAC ID 2365617867, 2 clinicians

Practice addresses (Care Compare)

109 E Main St
Crawfordsville, IN 47933-1710
Phone (765) 362-2706

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002838AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Creek Eyecare, P.C. Optometrist CurrentSince Aug 1, 1997 Accepting new patients

Locations

109 E Main St
Crawfordsvlle, IN 47933
Phone (765) 362-2706

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1912068099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EAST MAIN STREET",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "47933",
            "telephone_number": "765-362-2706",
            "fax_number": "765-362-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331710",
            "telephone_number": "765-362-2706",
            "fax_number": "765-362-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDLER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002838A",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002838A",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IN",
            "license": "18002838A",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IN",
            "license": "18002838A",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18002838A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

Verify at the official NPI Registry.