Provider Demographics
NPI:1487634994
Name:ROBB SCHMIDT, OD, PC
Entity Type:Organization
Organization Name:ROBB SCHMIDT, OD, PC
Other - Org Name:NEVADA VISION CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBB
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-382-2744
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02259152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA100499OtherHEALTH ALLIANCE
IA187530OtherCOVENTRY HEALTHCARE
IA35131OtherWELLMARK BXBS
IAP00076385OtherRR MEDICARE PIN#
IADA8866OtherRR MEDICARE GROUP#
IA0422667Medicaid
IAI10639Medicare PIN
IAU96067Medicare UPIN
IA100499OtherHEALTH ALLIANCE