Active NPI
Alexandra Schmucker, O.D.
- Optometrist
- Toledo, OH
National Provider Identifier
1982087540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6407
- Practice address
- 3000 Regency CT
Toledo, OH 43623-3092 - Phone
- (419) 882-2020
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 6407 | OH | Primary |
Addresses
Primary practice location
3000 Regency CT
Toledo, OH 43623-3092
Mailing address
5655 Monclova Rd
Ste 2
Maumee, OH 43537-1870
Phone (419) 893-4883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20160620000078 | OH | Practitioner - Optometry | 6507157708 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1982087540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 MONCLOVA RD",
"address_2": "STE 2",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371870",
"telephone_number": "419-893-4883",
"fax_number": "419-893-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 REGENCY CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233092",
"telephone_number": "419-882-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMUCKER",
"first_name": "ALEXANDRA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.