Provider Demographics
NPI:1881666295
Name:SCHLAGHECK, MICHELE A III (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:A
Last Name:SCHLAGHECK
Suffix:III
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 1:2865 N REYNOLDS RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2068
Mailing Address - Country:US
Mailing Address - Phone:419-578-2020
Mailing Address - Fax:419-539-6323
Practice Address - Street 1:2865 N REYNOLDS RD
Practice Address - Street 2:SUITE 170
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2068
Practice Address - Country:US
Practice Address - Phone:419-578-2020
Practice Address - Fax:419-539-6323
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4456T1112152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0936563Medicaid
OH000000121697OtherANTHEM
OH1183130001OtherADMINASTAR
OH4634574OtherAETNA
OH03099OtherPARAMOUNT
OH2201071OtherUNITED HEALTH CARE
OH03099OtherPARAMOUNT
OH000000121697OtherANTHEM
OHU44160Medicare UPIN