Provider Demographics
NPI:1629275052
Name:LY-SCHROEDER, EMILY (OD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LY-SCHROEDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 EMERY AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1426
Mailing Address - Country:US
Mailing Address - Phone:908-246-0392
Mailing Address - Fax:908-450-1253
Practice Address - Street 1:44 EMERY AVE STE 2
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1426
Practice Address - Country:US
Practice Address - Phone:908-246-0392
Practice Address - Fax:908-450-1253
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00596900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist