Provider Demographics
NPI:1245565324
Name:SCHAUER, BRITTANY GAIL (OD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:GAIL
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:GAIL
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:107 6TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-2609
Mailing Address - Country:US
Mailing Address - Phone:701-663-0313
Mailing Address - Fax:701-663-1604
Practice Address - Street 1:107 6TH AVE NW
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-2609
Practice Address - Country:US
Practice Address - Phone:701-663-0313
Practice Address - Fax:701-663-1604
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND703152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND60716Medicaid
NDN718185Medicare PIN