Provider Demographics
NPI:1922682509
Name:SCHMAUDER, MEGAN (OD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SCHMAUDER
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 1:358 BLUE RIVER PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80498-5530
Mailing Address - Country:US
Mailing Address - Phone:970-451-0015
Mailing Address - Fax:970-568-5460
Practice Address - Street 1:358 BLUE RIVER PKWY STE D
Practice Address - Street 2:
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498-5530
Practice Address - Country:US
Practice Address - Phone:970-451-0015
Practice Address - Fax:970-568-5460
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
COOPT0003842152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program