Provider Demographics
NPI:1518171925
Name:SCHROEDER EYE CARE LLC
Entity Type:Organization
Organization Name:SCHROEDER EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-242-5115
Mailing Address - Street 1:4375 BELVEDERE RD
Mailing Address - Street 2:SCHROEDER EYE CARE
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-1545
Mailing Address - Country:US
Mailing Address - Phone:561-242-5115
Mailing Address - Fax:561-242-5285
Practice Address - Street 1:4375 BELVEDERE RD
Practice Address - Street 2:SCHROEDER EYE CARE
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-1545
Practice Address - Country:US
Practice Address - Phone:561-242-5115
Practice Address - Fax:561-242-5285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC003742152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL24912OtherSPECTERA
FL44644OtherDAVIS
FL63212OtherSAFEGAURD
FL100734OtherNVA
FL6212298Medicaid
FL=========OtherSTARMOUNT ALWAYS VISION
FL6212298Medicaid
FLPTAN U0052YMedicare ID - Type UnspecifiedT CHRIS SCHROEDER, OD