Provider Demographics
NPI:1275610958
Name:SCHINDERLE EUGENIDES OD PA
Entity Type:Organization
Organization Name:SCHINDERLE EUGENIDES OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:EUGENIDES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-637-0202
Mailing Address - Street 1:314 N TAMIAMI TRL
Mailing Address - Street 2:STE 112
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-4839
Mailing Address - Country:US
Mailing Address - Phone:941-637-0202
Mailing Address - Fax:941-637-0425
Practice Address - Street 1:314 N TAMIAMI TRL
Practice Address - Street 2:STE 112
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4839
Practice Address - Country:US
Practice Address - Phone:941-637-0202
Practice Address - Fax:941-637-0425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2233152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL410035849OtherMEDICARE RAILROAD
FL19112OtherBLUE CROSS BLUE SHIELD
FL1275610958Medicare Oscar/Certification
FL410035849OtherMEDICARE RAILROAD
FLT95581Medicare UPIN