Provider Demographics
NPI:1477785863
Name:DR LAWRENCE SCHNEIDER OPTOMETRIST INC
Entity Type:Organization
Organization Name:DR LAWRENCE SCHNEIDER OPTOMETRIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-779-3933
Mailing Address - Street 1:6834 TYLERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1416
Mailing Address - Country:US
Mailing Address - Phone:513-779-3933
Mailing Address - Fax:513-779-6760
Practice Address - Street 1:6834 TYLERSVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1416
Practice Address - Country:US
Practice Address - Phone:513-779-3933
Practice Address - Fax:513-779-6760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3001152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9388871Medicare PIN
OH0241140005Medicare NSC