Provider Demographics
NPI:1750418125
Name:SCHIFF, HAROLD (OD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:SCHIFF
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 1:4133 WINTERSET LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3155
Mailing Address - Country:US
Mailing Address - Phone:248-470-5300
Mailing Address - Fax:
Practice Address - Street 1:2343 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48302-0254
Practice Address - Country:US
Practice Address - Phone:248-836-3219
Practice Address - Fax:248-836-3220
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002620152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIT33754Medicare UPIN