Provider Demographics
NPI:1407992209
Name:DAVID M. SCHNEIDER, MD INC.
Entity Type:Organization
Organization Name:DAVID M. SCHNEIDER, MD INC.
Other - Org Name:MIDWEST EYECENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-752-5700
Mailing Address - Street 1:4452 EASTGATE BLVD
Mailing Address - Street 2:305
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1584
Mailing Address - Country:US
Mailing Address - Phone:513-752-5700
Mailing Address - Fax:513-752-5716
Practice Address - Street 1:4452 EASTGATE BLVD
Practice Address - Street 2:305
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1584
Practice Address - Country:US
Practice Address - Phone:513-752-5700
Practice Address - Fax:513-752-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X, 207W00000X, 367500000X
OH5506/T2418152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0948041Medicaid
KY65945511Medicaid
KY77901999Medicaid
OH0907835Medicaid
OH9231581Medicare PIN
OH0907835Medicaid
KY77901999Medicaid