Provider Demographics
NPI:1386649150
Name:SCHUCHERT, ROBERT BRUCE (OD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRUCE
Last Name:SCHUCHERT
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 1:25506 GREENWELL SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8568
Mailing Address - Country:US
Mailing Address - Phone:281-615-4767
Mailing Address - Fax:281-394-7413
Practice Address - Street 1:25506 GREENWELL SPRINGS LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8568
Practice Address - Country:US
Practice Address - Phone:281-615-4767
Practice Address - Fax:281-394-7413
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5832TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E84ZOtherBLUE CROSS BLUE SHIELD
TX019154601Medicaid
TX019154601Medicaid
TX00E84ZOtherBLUE CROSS BLUE SHIELD