Individual provider Active NPI

John M Schmitz, O.D.

  • Optometrist
  • Bingham Farms, MI
National Provider Identifier
1912906397
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
JS5002763 Issued in MI
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

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4310718MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000316 MI Practitioner - Optometry 1052449881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JS5002763MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kat Stannis LLC CurrentSince Nov 1, 2020 Accepting new patients
Dennis Z. Weber Past Accepting new patients
M. Hanif Peracha , M.D. , P.C. PastSince Sep 1, 2019 Accepting new patients

Locations

1794 N Old US 23
Howell, MI 48843
Phone (810) 632-7444

Interoperability endpoints

  • Direct secure messaging: jmschmitz@wilkec1846.srs-direct.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.