Provider Demographics
NPI:1982860961
Name:SCHMAKEL EYE CARE INC.
Entity Type:Organization
Organization Name:SCHMAKEL EYE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHMAKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-578-0057
Mailing Address - Street 1:3454 OAK ALLEY CT
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1306
Mailing Address - Country:US
Mailing Address - Phone:419-578-0057
Mailing Address - Fax:419-578-0061
Practice Address - Street 1:3454 OAK ALLEY CT
Practice Address - Street 2:SUITE 202
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1306
Practice Address - Country:US
Practice Address - Phone:419-578-0057
Practice Address - Fax:419-578-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3372-T967152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9386941Medicare PIN
OH1119160001Medicare NSC