DR. JUSTIN MICHAEL SCHROEDER (NPI# 1215984224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215984224 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MICHAEL SCHROEDER |
| Credential | O.D. |
| Practice Address |
400 Ward Ave Caruthersville MO 63830-1451 |
| Mailing Address |
1502 Brayton Ave Dyersburg TN 38024-3159 |
| Practice Telephone | 5733333937 |
| Practice Fax Number | 5733333938 |
| Mailing Telephone | 7312855411 |
| Mailing Fax Number | 7312858481 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
TN2451 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 0797303 | 01 |
| TN | BETTER HEALTH | 150674 | 01 |
| TN | 3722767 | 05 | |
| TN | BLUE CROSS BLUE SHIELD TN | 4067790 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881836245 | Justin T. Schroeder | Nurse Anesthetist, Certified Registered | 80 1st St, Prairie Du Sac, WI 53578-1550 | 2009-04-01 |
| Street Address |
400 WARD AVE |
| City | CARUTHERSVILLE |
| State | MO |
| Zip Code | 63830-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164589446 | Allison Lee Whitener | Optometrist | 400 Ward Ave, Caruthersville, MO 63830-1451 | 2007-01-03 |
| 1609933902 | Bootheel Eye Care | Optometrist | 400 Ward Ave, Caruthersville, MO 63830-1451 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216400 | Jazmyne S Hall | Behavior Technician | 915 Highway 84, Caruthersville, MO 63830 | 2019-10-14 |
| 1134573017 | Nathan Straeter | Pharmacist | State Highway 84 West, Caruthersville, MO 63830 | 2016-04-18 |
| 1861805624 | Ashley Marie Ballard | Case Manager/Care Coordinator | 10 & Ward Suite C, Caruthersville, MO 63830 | 2014-06-09 |
| 1356764435 | Jena Payne | Case Manager/Care Coordinator | 10th Ward St, Caruthersville, MO 63830 | 2014-01-27 |
| 1619390705 | James Smith | Case Manager/Care Coordinator | 10th & Ward Suite B, Caruthersville, MO 63830 | 2014-01-27 |
| 1730501370 | Belinda Fields | Community Health Worker | 10th & Ward, C, Caruthersville, MO 63830 | 2014-01-16 |
| 1831387372 | T M Swinger & D V Mckillip, Ptr | Optometrist | 101 E. 10th St., Suite A, Caruthersville, MO 63830 | 2007-10-10 |
| 1437284635 | Terrence M Swinger | Optometrist | 101 E. Tenth St., Suite A, Caruthersville, MO 63830 | 2007-02-21 |
| 1114097581 | John D Gardner | Dentist | 1210 Ward Ave, Caruthersville, MO 63830 | 2006-11-09 |
| 1366512287 | Krilurk Chanvitayapongs | Pharmacist | 2709 South Ward, Caruthersville, MO 63830 | 2006-11-08 |
| Find all providers in zip 63830 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681176 | Davidson Vision Therapy LLC | Optometrist | 12401 Olive Blvd Ste 206, Saint Louis, MO 63141-5448 | 2020-08-25 |
| 1790153948 | Troy L. Bell O.d. & Assoc PC | Optometrist | 2954 E Jackson Blvd, Jackson, MO 63755-2949 | 2015-09-04 |
| 1932371457 | Lisa B Dibler Od LLC | Optometrist | 171 Lamp and Lantern Village, Town and Country, MO 63017-8208 | 2008-03-25 |
| 1770508889 | David R Coleman | Optometrist | 1030 Se Murphy Blvd, Joplin, MO 64801-5043 | 2006-07-12 |
| 1285687210 | Susan Lake | Optometrist | 601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 | 2006-05-19 |
| 1679527253 | Lisa B Dibler | Optometrist | 266 Lamp and Lantern Vlg, Chesterfield, MO 63017-8209 | 2006-05-19 |
| 1104302660 | Sneha Bagavandoss | Optometrist | 507 S Lincoln Ave, Union, MO 63084-2121 | 2018-07-17 |
| 1932330644 | David R Coleman Od LLC | Optometrist | 1030 Se Murphy Blvd, Joplin, MO 64801-5043 | 2009-07-29 |
| City | CARUTHERSVILLE |
| Zip Code | 63830 |
Please comment or provide details below to improve the information on DR. JUSTIN MICHAEL SCHROEDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.