Provider Demographics
NPI:1427024033
Name:SCHMIDT, ROBB WILLIAM (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBB
Middle Name:WILLIAM
Last Name:SCHMIDT
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 1:1731 S G AVE
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-2798
Mailing Address - Country:US
Mailing Address - Phone:515-382-2744
Mailing Address - Fax:515-382-6934
Practice Address - Street 1:1731 S G AVE
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-2798
Practice Address - Country:US
Practice Address - Phone:515-382-2744
Practice Address - Fax:515-382-6934
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02259152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA35131OtherWELLMARK BXBS
IA100499OtherHEALTH ALLIANCE
IA187530OtherCOVENTRY HEALTHCARE
IAP00076385OtherRR MEDICARE PIN #
IA0422667Medicaid
IADA8866OtherRR MEDICARE GROUP #
IAI10639Medicare PIN
IA100499OtherHEALTH ALLIANCE
IAU96067Medicare UPIN