Provider Demographics
NPI:1457463176
Name:SCHMIDT, DAN F (OD)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:F
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:PO BOX 735,
Mailing Address - Street 2:625 E 8TH ST
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3997
Mailing Address - Country:US
Mailing Address - Phone:785-625-2922
Mailing Address - Fax:785-625-2941
Practice Address - Street 1:625 E 8TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3997
Practice Address - Country:US
Practice Address - Phone:785-625-2922
Practice Address - Fax:785-625-2941
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1254-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100218760BMedicaid
KS410032265OtherRR MCR
KS0605390001OtherDMERC
KS410032265OtherRR MCR
KS065143001Medicare PIN