Individual provider Active NPI

Joseph Michael Schwerdtfeger, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1962593624
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1265-3 Issued in KS
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

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 3971930728, 16 clinicians

Practice addresses (Care Compare)

7500 W 119TH St
Overland Park, KS 66213-1108
Phone (913) 345-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acuity Vision Center LLC Optometrist CurrentSince Mar 25, 2022 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.

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

Verify at the official NPI Registry.