Paul E Schroeder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1782 Issued in IA

Practice address

120 1St St NW
Le Mars, IA 51031-3508

Phone

(712) 546-4183

Fax

(712) 548-4101

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paul E Schroeder & Scott B Ihrke

  • Optometrist
  • Le Mars, IA
  • NPI 1932144623
  Medicare reassignment NPD
• Foresight Eye Care, PLLC

  • Optometrist
  • Le Mars, IA
  • NPI 1063222032
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1942276019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST ST NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313508",
            "telephone_number": "712-546-4183",
            "fax_number": "712-548-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST ST NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313508",
            "telephone_number": "712-546-4183",
            "fax_number": "712-548-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201699",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC8412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianna Ruisch, LISW
• Monte H Russell, DDS
• Erin Schroeder, OTD, OTR/L
• Geri L Schroeder, ARNP
• James Michael Schroeder, PC
• Shanice Marie Schroeder
• Casey Lee Schulte, TLMHC
• Jill Schultes Pudenz, RN
• Shining Light Speech Therapy, PLLC
• Simonsen Chiropractic, PC

• Optometrist in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.

Verify at the official NPI Registry.