Provider Demographics
NPI:1497792774
Name:SCHAFE, MARK D (DO)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:D
Last Name:SCHAFE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6900 INTERNATIONAL CENTER BLVD
Mailing Address - Street 2:COLLINS VISION
Mailing Address - City:FT. MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912
Mailing Address - Country:US
Mailing Address - Phone:239-936-4706
Mailing Address - Fax:239-225-6775
Practice Address - Street 1:6900 INTERNATIONAL CENTER BLVD
Practice Address - Street 2:COLLINS VISION
Practice Address - City:FT. MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912
Practice Address - Country:US
Practice Address - Phone:239-936-4706
Practice Address - Fax:239-225-6775
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2012-05-15
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Provider Licenses
StateLicense IDTaxonomies
FLFL2348156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0826760001Medicare ID - Type Unspecified