Provider Demographics
NPI:1891836540
Name:SCHMIDT, CURTIS CHARLES (OD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:CHARLES
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 OAK ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-3359
Mailing Address - Country:US
Mailing Address - Phone:904-366-3781
Mailing Address - Fax:904-354-3075
Practice Address - Street 1:751 OAK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3359
Practice Address - Country:US
Practice Address - Phone:904-366-3781
Practice Address - Fax:904-354-3075
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3272152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU66649Medicare UPIN
FLE2795YMedicare ID - Type Unspecified