DR. JUSTIN MICHAEL SCHROEDER O.D. NPI 1215984224

NPI Information

  • NPI: 1215984224
  • Provider Name: DR. JUSTIN MICHAEL SCHROEDER, O.D.
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 WARD AVE
    CARUTHERSVILLE, MO
    ZIP 63830
  • Phone: (573) 333-3937

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NPI Details

DR. Justin Michael Schroeder, O.D. is a vision therapy optometrist in Caruthersville, MO with 25 years of experience. The provider is 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. DR. Justin Michael Schroeder, O.D. NPI is 1215984224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year:2001

The provider's business location address is:

400 WARD AVE
CARUTHERSVILLE, MO
ZIP 63830-451
Phone: (573) 333-3937
Fax: (573) 333-3938

The NPI 1215984224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of optic nerve (HCPCS:92133)
  • Imaging of retina (HCPCS:92134)
  • Photography of the retina (HCPCS:92250)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 5/27/2006 and was last updated on 12/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision TherapyTN2451TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10797303OTHERTENNESSEECIGNA
2150674OTHERTENNESSEEBETTER HEALTH
33722767MEDICAIDTENNESSEE
44067790OTHERTENNESSEEBLUE CROSS BLUE SHIELD TN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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