Individual provider Active NPI

Edward John Schneider, OD

  • Optometrist
  • Ossian, IN
National Provider Identifier
1922076629
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003280 Issued in IN
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.

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

ProcedureNumber of procedures
Cataract surgery12

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000063 IN Practitioner - Optometry 3173585627 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frey Vision Group of Indiana Inc Optometrist CurrentSince Apr 17, 2019 Accepting new patients
Longe Enterprises Corp PastSince Apr 11, 2021 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)CodeLicenseStatePrimary
Optometrist 152W00000X 18003280 IN Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
200391880MedicaidIN
200483170MedicaidIN

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

Verify at the official NPI Registry.