Provider Demographics
NPI:1376548891
Name:SCHMIT, MICHAEL R (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:SCHMIT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5823 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-6224
Mailing Address - Country:US
Mailing Address - Phone:513-741-8811
Mailing Address - Fax:513-741-8917
Practice Address - Street 1:5823 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-6224
Practice Address - Country:US
Practice Address - Phone:513-741-8811
Practice Address - Fax:513-741-8917
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2013-04-24
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
OH3493152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0433105Medicaid
OH0433105Medicaid
OHT47211Medicare UPIN
OHP00243672Medicare PIN
OH0486252Medicare PIN