Active NPI
Joseph Michael Schwerdtfeger, O.D.
- Optometrist
- Overland Park, KS
National Provider Identifier
1962593624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1265-3
- Practice address
- 7500 W 119TH St
Overland Park, KS 66213-1108 - Phone
- (913) 345-2020
- Fax
- (913) 345-2662
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1265-3 | KS | Primary |
Addresses
Primary practice location
7500 W 119TH St
Overland Park, KS 66213-1108
Mailing address
10824 W 140TH St
Overland Park, KS 66221-8171
Phone (913) 488-8821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20081211000804 | KS | Practitioner - Optometry | 6103987995 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acuity Vision Center LLC
Practice addresses (Care Compare)
7500 W 119TH St
Overland Park, KS 66213-1108
Phone (913) 345-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acuity Vision Center LLC | Optometrist | Current | Accepting new patients |
| Insight Vision Center LLC | Optometrist | Past | Accepting new patients |
Locations
11114 S Lone Elm Rd
Olathe, KS 66061
Phone (913) 390-6700
7500 W 119th St
Overland Park, KS 66213
Phone (913) 345-2020
Organizations & group practices 2
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.
-
- Optometrist
- Olathe, KS
- NPI 1124299250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1962593624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10824 W 140TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662218171",
"telephone_number": "913-488-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 W 119TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131108",
"telephone_number": "913-345-2020",
"fax_number": "913-345-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWERDTFEGER",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1265-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.