Individual provider Active NPI

Eric E Schmidt, O.D.

  • Low Vision Rehabilitation Optometrist
  • Elizabethtown, NC
National Provider Identifier
1922007368
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
1446 Issued in NC
Practice address
409 E Broad St
Elizabethtown, NC 28337-8807
Phone
(910) 862-4268
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 1446 NC Primary

Addresses

Primary practice location

409 E Broad St
Elizabethtown, NC 28337-8807

Mailing address

409 E Broad St
PO Box 2589
Elizabethtown, NC 28337-8807
Phone (910) 862-4268

Other identifiers 1

IdentifierTypeStateIssuer
890982HMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070927000987 NC Practitioner - Optometry 9335234806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Services OD PLLCGroup PAC ID 9032204508, 3 clinicians

Practice addresses (Care Compare)

818 Pine Grove Dr
B
Wilmington, NC 28409-5600
Phone (910) 793-2010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1447NCMDBehavioral Analyst
1056LAMDMarriage & Family Therapist
1446NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Services OD PLLC Optometrist CurrentSince Dec 18, 2006 Accepting new patients
Bladen Eye Center OD PLLC Optometrist CurrentSince Jul 18, 1996 Accepting new patients
Eugene Oppman Apoc Inc Optometrist PastSince Oct 1, 2023 Accepting new patients

Locations

818B Pine Grove Dr
Wilmington, NC 28409
Phone (910) 793-2010

818 Pine Grove Dr
Wilmington, NC 28409
Phone (910) 777-5971

818 Pine Grove Dr
#B
Wilmington, NC 28409
Phone (910) 793-2010

Interoperability endpoints

  • Direct secure messaging: eschmidt@omnieyenc.eyefinity-direct.com
  • Direct secure messaging: eschmidt@bladeneyecenter.eyefinity-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": "1222819200000",
    "number": "1922007368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E BROAD ST",
            "address_2": "PO BOX 2589",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283378807",
            "telephone_number": "910-862-4268",
            "fax_number": "910-862-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E BROAD ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283378807",
            "telephone_number": "910-862-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ERIC",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NC",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890982H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

Verify at the official NPI Registry.