Provider Demographics
NPI:1457317794
Name:SCHECTER, MICHEAL (OD)
Entity Type:Individual
Prefix:
First Name:MICHEAL
Middle Name:
Last Name:SCHECTER
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 1:3716 FISHINGER BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7557
Mailing Address - Country:US
Mailing Address - Phone:614-876-1766
Mailing Address - Fax:614-771-7544
Practice Address - Street 1:3716 FISHINGER BLVD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7557
Practice Address - Country:US
Practice Address - Phone:614-876-1766
Practice Address - Fax:614-771-7544
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4312-12152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist