Provider Demographics
NPI:1750519419
Name:SCHROEDER, MATTHEW J (OD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:545 S BROADWAY
Mailing Address - Street 2:SUITE #500
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4067
Mailing Address - Country:US
Mailing Address - Phone:720-570-0660
Mailing Address - Fax:720-570-3223
Practice Address - Street 1:917 N PROMENADE PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85294-5415
Practice Address - Country:US
Practice Address - Phone:520-836-5794
Practice Address - Fax:520-374-2204
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ1684152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist