DR. ERIC SCHWARTZ O.D.
NPI 1700143377
Optometrist in Louisville, KY

NPI Status: Active since April 19, 2012

Contact Information

5020 NORTON HEALTHCARE BLVD
LOUISVILLE, KY
ZIP 40241
Phone: (502) 420-0173
Fax: (502) 420-0174

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Optometrist
Accepts Insurance
PECOS Enrolled

About ERIC SCHWARTZ

This page provides the complete NPI Profile along with additional information for Eric Schwartz, a provider established in Louisville, Kentucky with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1700143377 assigned on April 2012. The practitioner's primary taxonomy code is 152W00000X with license number 1856DT (KY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1700143377
Provider Name: DR. ERIC SCHWARTZ O.D.
Gender: Male
Entity Type: Individual
Location Address: 5020 NORTON HEALTHCARE BLVD LOUISVILLE, KY 40241
Location Phone: (502) 420-0173
Location Fax: (502) 420-0174
Mailing Address: 1151 S 2ND ST LOUISVILLE, KY 40203
Mailing Phone: (502) 931-8945
Is Sole Proprietor?: No
Enumeration Date: 04-19-2012
Last Update Date: 11-02-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Optometrist
Taxonomy Code: 152W00000X
Type: Eye and Vision Services Providers
License No.: 1856DT
License State: KY
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 - PPO
Blue Max 90/70 $1500 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
Blue Saver 60/40 $6100 - PPO
Blue Saver 90/70 $3200 - PPO

Blue Cross Blue Shield of Wyoming

BlueSelect Bronze Basic - PPO
BlueSelect Bronze Core - PPO
BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
BlueSelect Gold Core - PPO
BlueSelect Gold HealthPlus - PPO
BlueSelect Gold Standard without Kid's Dental - PPO
BlueSelect Silver Classic - PPO
BlueSelect Silver Classic without Kid's Dental - PPO
BlueSelect Silver HealthPlus - PPO
BlueSelect Silver HealthPlus without Kid's Dental - PPO
BlueSelect Silver Standard without Kid's Dental - PPO

BlueCross BlueShield of Tennessee

BlueCross B07S HSA - EPO
BlueCross B15S $0 virtual care from Teladoc Health � - EPO
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
7100218320	MEDICAID (05)	KY

Medicare Participation & PECOS Enrollment Status

Eric Schwartz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 45-59 minutes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 40241 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $122.77
Minimum New Patient Price $52.76
Maximum New Patient Price $162.27

Average New Patient Copayment $30.69
Minimum New Patient Copayment $13.19
Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $66.24
Minimum Established Patient Price $16.53
Maximum Established Patient Price $131.99

Average Established Patient Copayment $16.56
Minimum Established Patient Copayment $4.13
Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	0	0	1	4	3	3	7	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	0	0	2	4	6	3	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 2 + 4 + 6 + 3 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7									7

The NPI number 1700143377 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.