Provider Demographics
NPI:1609894054
Name:DRS SCHINDLER & DEIS PC
Entity Type:Organization
Organization Name:DRS SCHINDLER & DEIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:701-255-0186
Mailing Address - Street 1:204 W CENTURY AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-1494
Mailing Address - Country:US
Mailing Address - Phone:701-255-0186
Mailing Address - Fax:701-255-3975
Practice Address - Street 1:204 W CENTURY AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1494
Practice Address - Country:US
Practice Address - Phone:701-255-0186
Practice Address - Fax:701-255-3975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND397152W00000X
ND517152W00000X
ND707152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND60453Medicaid
ND60725Medicaid
ND800397OtherND VISION SERVICES DR SCH
ND1619317724OtherBCBS DR. HELLEBUSH
00487001OtherBCBS GROUP
ND007351OtherBCBS DR SCHINDLER
ND60277Medicaid
ND00838001OtherND VISION SERVICES GRP
ND60621Medicaid
ND800517OtherND VISION SERVICES DR DEI
ND005179OtherBCBS DR DEIS
ND60725Medicaid
NDN711511Medicare PIN
NDN711493Medicare PIN
ND800397OtherND VISION SERVICES DR SCH
T66939Medicare UPIN
U37198Medicare UPIN
ND60277Medicaid