Provider Demographics
NPI:1083791024
Name:DRS SCHINDLER & DEIS PC
Entity Type:Organization
Organization Name:DRS SCHINDLER & DEIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:701-463-2224
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:ND
Mailing Address - Zip Code:58540-0277
Mailing Address - Country:US
Mailing Address - Phone:701-463-2224
Mailing Address - Fax:701-463-2192
Practice Address - Street 1:151 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:ND
Practice Address - Zip Code:58540-0277
Practice Address - Country:US
Practice Address - Phone:701-463-2224
Practice Address - Fax:701-463-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDDEI11845OtherBCBS OF ND
NDSCH7191OtherBCBS OF ND
NDSCH870397OtherND VISION SERVICES
ND70486OtherBCBS OF ND
ND60453Medicaid
ND60629Medicaid
NDDEI870517OtherND VISION SERVICES
NDSCH7191OtherBCBS OF ND
NDSCH870397OtherND VISION SERVICES
NDN711817Medicare PIN
NDN711818Medicare PIN