Provider Demographics
NPI:1558343996
Name:SCHEIMAN, MITCHELL (OD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:
Last Name:SCHEIMAN
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 1:151 SUMMIT LN
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2918
Mailing Address - Country:US
Mailing Address - Phone:610-664-5128
Mailing Address - Fax:610-660-9195
Practice Address - Street 1:179 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4514
Practice Address - Country:US
Practice Address - Phone:215-674-2021
Practice Address - Fax:215-674-4323
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOB006032A152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA410031952OtherRAIL ROAD MEDICARE
PA420831Medicare ID - Type Unspecified
PA410031952OtherRAIL ROAD MEDICARE