Active NPI
John M Schmitz, O.D.
- Optometrist
- Bingham Farms, MI
National Provider Identifier
1912906397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- JS5002763
- Practice address
- 31000 Telegraph Rd
Suite 140
Bingham Farms, MI 48025-4360 - Phone
- (248) 433-3399
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- 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 | JS5002763 | MI | Primary |
Addresses
Primary practice location
31000 Telegraph Rd
Suite 140
Bingham Farms, MI 48025-4360
Mailing address
31000 Telegraph Rd
Suite 140
Bingham Farms, MI 48025-4360
Phone (248) 433-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4310718 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jschmitz@WILKEC1846.srs-direct.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100514000316 | MI | Practitioner - Optometry | 1052449881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JS5002763 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kat Stannis LLC | Current | Accepting new patients | |
| Dennis Z. Weber | Past | Accepting new patients | |
| M. Hanif Peracha , M.D. , P.C. | Past | Accepting new patients |
Locations
1794 N Old US 23
Howell, MI 48843
Phone (810) 632-7444
Interoperability endpoints
- jmschmitz@wilkec1846.srs-direct.com
- jschmitz@wilkec1846.srs-direct.com
Organizations & group practices 3
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.
-
- Optician
- Howell, MI
- NPI 1811377740
-
- Ophthalmology Physician
- Bingham Farms, MI
- NPI 1518025352
-
- Ophthalmology Physician
- Monroe, MI
- NPI 1346292935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1912906397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31000 TELEGRAPH RD",
"address_2": "SUITE 140",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254360",
"telephone_number": "248-433-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31000 TELEGRAPH RD",
"address_2": "SUITE 140",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254360",
"telephone_number": "248-433-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITZ",
"first_name": "JOHN",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "JS5002763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4310718",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jschmitz@WILKEC1846.srs-direct.com",
"affiliation": "N",
"address_1": "44555 Woodward Ave Ste 203",
"city": "Pontiac",
"state": "MI",
"country_code": "US",
"postal_code": "483415033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.