Provider Demographics
NPI:1194518753
Name:SCHROEDER, ANA (OD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:SCHROEDER
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 1:5233 SETTLEMENT DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9493
Mailing Address - Country:US
Mailing Address - Phone:614-352-9348
Mailing Address - Fax:
Practice Address - Street 1:10654 S RIVER HEIGHTS DR STE 110
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-5523
Practice Address - Country:US
Practice Address - Phone:385-475-5099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14222825-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist