Active NPI
Edward John Schneider, OD
- Optometrist
- Ossian, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003280
- Practice address
- 111 W. Mill St.
Ossian, IN 46777 - Phone
- (260) 622-4000
- Fax
- (260) 622-4009
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Eyewear Supplier
- Fort Wayne, IN
- NPI 1083294532
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 W Mill St
Ossian, IN 46777-1113
Phone (260) 622-4000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041028000063 | IN | Practitioner - Optometry | 3173585627 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frey Vision Group of Indiana Inc | Optometrist | Current | Accepting new patients |
| Longe Enterprises Corp | Past | Accepting new patients |
Locations
3409 N Anthony Blvd
Fort Wayne, IN 46805
Phone (260) 484-0615
5711 Ymca Park Dr E
Fort Wayne, IN 46835
Phone (224) 999-3129
10202 Coldwater Rd
Ste B
Fort Wayne, IN 46825
Phone (260) 469-0552
6413 Lima Rd
Fort Wayne, IN 46818
Phone (260) 275-5082
6709 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-8409
7625 Southtown Xing
Fort Wayne, IN 46816
Phone (260) 447-2020
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003280 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
111 W. Mill St.
Ossian, IN 46777
Mailing address
PO Box 101
Ossian, IN 46777-0101
Phone (260) 622-4000
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200391880 | Medicaid | IN | |
| 200483170 | Medicaid | IN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2010.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1922076629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "OSSIAN",
"state": "IN",
"postal_code": "467770101",
"telephone_number": "260-622-4000",
"fax_number": "260-622-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W. MILL ST.",
"city": "OSSIAN",
"state": "IN",
"postal_code": "46777",
"telephone_number": "260-622-4000",
"fax_number": "260-622-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "EDWARD",
"middle_name": "JOHN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200391880",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200483170",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ossian, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.