Provider Demographics
NPI:1356500730
Name:RYAN SCHAMERLOH
Entity Type:Organization
Organization Name:RYAN SCHAMERLOH
Other - Org Name:ALL CARE EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHAMERLOH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-239-2176
Mailing Address - Street 1:2959 S BUCKNER BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-6950
Mailing Address - Country:US
Mailing Address - Phone:214-239-2176
Mailing Address - Fax:214-239-2177
Practice Address - Street 1:2959 S BUCKNER BLVD STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-6950
Practice Address - Country:US
Practice Address - Phone:214-239-2176
Practice Address - Fax:214-239-2177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6956TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX301821004Medicaid
TX181434501Medicaid
TX301821003Medicaid
TX301821005Medicaid