Doctor Name: | STEPHANIE SCHMIEDECKE |
NPI Number: | 1043240831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | 6254TG |
Business Practice Address: | 619 S Marion Ave Mail Code 112 Lake City, FL - 320255808 |
Business Phone Number: | 3867553016 |
Business Fax Number: | 3867546423 |
Mailing Address: | 62 Turkey Crk, ALACHUA |
State: | FL |
Postal Code: | 326159500 |
Phone Number: | 8325419186 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WL0500X |
License Number: | 6254TG |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Low Vision Rehabilitation |
Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |