Provider Demographics
NPI:1508027970
Name:SCHWARTZ, STEVEN P (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
Last Name:SCHWARTZ
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 1:101 LOG CANOE CIR
Mailing Address - Street 2:SUITE E
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2106
Mailing Address - Country:US
Mailing Address - Phone:410-643-4277
Mailing Address - Fax:
Practice Address - Street 1:101 LOG CANOE CIR
Practice Address - Street 2:SUITE E
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2106
Practice Address - Country:US
Practice Address - Phone:410-643-4277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTAO643152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist