Provider Demographics
NPI:1740326081
Name:SCHMIDT, GREGORY WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:WILLIAM
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1380 LUSITANA ST STE 604
Mailing Address - Street 2:QUEEN'S MEDICAL CENTER, POB I
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2449
Mailing Address - Country:US
Mailing Address - Phone:808-523-2020
Mailing Address - Fax:
Practice Address - Street 1:1380 LUSITANA ST STE 604
Practice Address - Street 2:QUEEN'S MEDICAL CENTER, POB I
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2449
Practice Address - Country:US
Practice Address - Phone:808-523-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2021-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDP19298207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology