Provider Demographics
NPI:1083972913
Name:SCHOEDEL, TAD DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:TAD
Middle Name:DOUGLAS
Last Name:SCHOEDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:VISTAR EYE CENTER
Mailing Address - Street 2:2802 BRANDON AVE
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015
Mailing Address - Country:US
Mailing Address - Phone:540-855-3554
Mailing Address - Fax:540-342-4373
Practice Address - Street 1:707 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-5100
Practice Address - Country:US
Practice Address - Phone:540-855-5100
Practice Address - Fax:540-343-5996
Is Sole Proprietor?:No
Enumeration Date:2012-04-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5315076682207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology