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Deactivated NPI 1275520850 Deactivated / Inactive NPI Male Practitioner

Dr. Robert E Schmidt , OD

Optometrist • East Peoria, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Schmidt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2005
NPI Deactivation Date August 01, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Schmidt, OD was a registered Optometrist practicing in East Peoria, IL. Throughout an active medical career spanning 17 years, Dr. Schmidt provided care at the practice location at 416 RIVERSIDE DR until profile deactivation on 2022-08-01.

Practice Location & Contact Primary Location

Practice Address

416 Riverside Dr

East Peoria, IL 616112098

Telephone 3096942273
Fax 3096982994
Associated Practice Facility / Clinic
🏢 J A K Enterprises Inc Facility NPI 1528012218

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in East Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
4 Specialists

Practicing in East Peoria, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046006103

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 01, 2022

Record deactivated on August 01, 2022

NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 03, 2014

Registered at 416 RIVERSIDE DR, EAST PEORIA, IL 616112098 (Tel: 3096942273)

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Updated Business Mailing Address July 03, 2014

Registered at 8309 N KNOXVILLE AVE, PEORIA, IL 616152170 (Tel: 3096939540)

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Provider Name / Credentials Updated July 03, 2014

Recorded as ROBERT SCHMIDT, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Optometrist (License #046006103 in IL)

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Initial NPI Registration & Enumeration September 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275520850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2005
Last Update: July 03, 2014
Deactivation Date: August 01, 2022

Mailing Address

8309 N Knoxville Ave

Peoria, IL 616152170

Phone: 3096939540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.