NPIMap

Organization Active NPI

Dr. John Schrolucke, Optometrist

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1912112756
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ212 Issued in AZ
Legal business name
DR. JOHN SCHROLUCKE, OPTOMETRIST
Practice address
5140 W Peoria Ave
Ste 116
Glendale, AZ 85302-1630
Phone
(623) 487-1100
Fax
(623) 487-1417
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. John Schrolucke, O.D.NPI 1659460848
Title
Owner
Phone
(623) 487-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AZ212 AZ Primary

Addresses

Primary practice location

5140 W Peoria Ave
Ste 116
Glendale, AZ 85302-1630

Mailing address

5140 W Peoria Ave
Ste 116
Glendale, AZ 85302-1630
Phone (623) 487-1100

National Provider Directory

National Provider Directory
Tax ID family
Dr John Schrolucke Optometrist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1912112756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 W PEORIA AVE",
            "address_2": "STE 116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021630",
            "telephone_number": "623-487-1100",
            "fax_number": "623-487-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 W PEORIA AVE",
            "address_2": "STE 116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021630",
            "telephone_number": "623-487-1100",
            "fax_number": "623-487-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN SCHROLUCKE, OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHROLUCKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-487-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.