Provider Demographics
NPI:1093059842
Name:SCHMIDT, CHELSEA CAY (OD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:CAY
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3733 PARK EAST DR
Mailing Address - Street 2:104
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4338
Mailing Address - Country:US
Mailing Address - Phone:216-839-0200
Mailing Address - Fax:216-839-0808
Practice Address - Street 1:3733 PARK EAST DR
Practice Address - Street 2:104
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4338
Practice Address - Country:US
Practice Address - Phone:216-839-0200
Practice Address - Fax:216-839-0808
Is Sole Proprietor?:No
Enumeration Date:2012-11-18
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6158152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0082770Medicaid
OH9310392Medicare PIN
OHH206251Medicare PIN
OH9310391Medicare PIN