Provider Demographics
NPI:1770011751
Name:SCHLIEPER, KATHERINE A (OD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:SCHLIEPER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4600 COX RD
Mailing Address - Street 2:STE 120
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6708
Mailing Address - Country:US
Mailing Address - Phone:804-270-0330
Mailing Address - Fax:804-270-1003
Practice Address - Street 1:2159 BARRACKS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4812
Practice Address - Country:US
Practice Address - Phone:434-977-2020
Practice Address - Fax:434-977-4842
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002574152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist