Provider Demographics
NPI:1407069461
Name:SCHMIDTS OPTICAL INC
Entity Type:Organization
Organization Name:SCHMIDTS OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:772-283-2622
Mailing Address - Street 1:2341 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4528
Mailing Address - Country:US
Mailing Address - Phone:772-283-2622
Mailing Address - Fax:772-223-4005
Practice Address - Street 1:2341 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4528
Practice Address - Country:US
Practice Address - Phone:772-283-2622
Practice Address - Fax:772-223-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1381332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0690160001Medicare ID - Type UnspecifiedDMERCK-DURABLE MED EQUIP