Individual provider Active NPI

Alexandra Schmucker, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1982087540
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6407 Issued in OH
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

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.