Provider Demographics
NPI:1083142889
Name:SCHLARMAN, KATRINA MARIE (OD)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:SCHLARMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E PARK ST
Mailing Address - Street 2:
Mailing Address - City:FORT LORAMIE
Mailing Address - State:OH
Mailing Address - Zip Code:45845-9409
Mailing Address - Country:US
Mailing Address - Phone:937-295-3307
Mailing Address - Fax:
Practice Address - Street 1:700 E PARK ST
Practice Address - Street 2:
Practice Address - City:FORT LORAMIE
Practice Address - State:OH
Practice Address - Zip Code:45845-9409
Practice Address - Country:US
Practice Address - Phone:937-295-3307
Practice Address - Fax:937-821-4043
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6582152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist