Provider Demographics
NPI:1205838943
Name:SCHUMER, DOUGLAS JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JAMES
Last Name:SCHUMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 W COOK RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2451
Mailing Address - Country:US
Mailing Address - Phone:419-525-3737
Mailing Address - Fax:419-525-3740
Practice Address - Street 1:240 W COOK RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2451
Practice Address - Country:US
Practice Address - Phone:419-525-3737
Practice Address - Fax:419-525-3740
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067416S152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0124449Medicaid
OHE42387Medicare UPIN
OH0863391Medicare ID - Type UnspecifiedMEDICARE/REVISION