Provider Demographics
NPI:1992860886
Name:SCHULTE, AIMEE MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:MARIE
Last Name:SCHULTE
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 1:22 19TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-3938
Mailing Address - Country:US
Mailing Address - Phone:605-753-3937
Mailing Address - Fax:605-753-0472
Practice Address - Street 1:22 19TH ST SE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-3938
Practice Address - Country:US
Practice Address - Phone:605-753-3937
Practice Address - Fax:605-753-0472
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDT550152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9203066Medicaid
U69143Medicare UPIN
SD100198Medicare PIN