Provider Demographics
NPI:1437434586
Name:SCHOBERT, CHAD LOUIS (OD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:LOUIS
Last Name:SCHOBERT
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 1:7115 N WINDY PINES ST
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-9173
Mailing Address - Country:US
Mailing Address - Phone:208-699-7520
Mailing Address - Fax:
Practice Address - Street 1:7115 N WINDY PINES ST
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-9173
Practice Address - Country:US
Practice Address - Phone:208-699-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003060152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics