Provider Demographics
NPI:1558401893
Name:SCHMITZER EYECARE, P.C.
Entity Type:Organization
Organization Name:SCHMITZER EYECARE, P.C.
Other - Org Name:GRAND LEDGE OPTOMETRY, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHMITZER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:517-622-2020
Mailing Address - Street 1:11973 SWEETWATER DR
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9196
Mailing Address - Country:US
Mailing Address - Phone:517-622-2020
Mailing Address - Fax:517-627-4397
Practice Address - Street 1:11973 SWEETWATER DR
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-9196
Practice Address - Country:US
Practice Address - Phone:517-622-2020
Practice Address - Fax:517-627-4397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2766634OtherUNITED HEALTHCARE
MI4986361Medicaid
MI900B311150OtherBLUE CROSS BLUE SHIELD
MI900B311320OtherBCBS OF MICHIGAN
MI200000007557OtherPHP OF MID MICHIGAN
MI7323885OtherAETNA
MI0P44400Medicare PIN
MI2766634OtherUNITED HEALTHCARE
MI5997170001Medicare NSC