Provider Demographics
NPI:1649281601
Name:SCHACHERER, CRAIG E (OD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:E
Last Name:SCHACHERER
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 1:303 S HIGHWAY 78
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3957
Mailing Address - Country:US
Mailing Address - Phone:972-442-2020
Mailing Address - Fax:972-442-5479
Practice Address - Street 1:303 S HIGHWAY 78
Practice Address - Street 2:SUITE 203
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3957
Practice Address - Country:US
Practice Address - Phone:972-442-2020
Practice Address - Fax:972-442-5479
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4141T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201964999OtherTAX ID NUMBER
TX00E38SMedicare PIN