Schmidt, Mark Everett
Schmidt, Mark Everett is an sole proprietor health care provider with primary practice located at 460 Rona Pkwy , Brookville OH 45309-1118. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Schmidt, Mark Everett can be contacted via phone (937) 833-4054.Contact Information
Primary practice address
460 Rona Pkwy
Brookville OH 45309-1118
Phone: (937) 833-4054
Fax: (937) 833-4055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4047/T108 | Ohio |
Profile Details
| NPI number | 1487640637 |
|---|---|
| LBN Legal business name | Schmidt, Mark Everett |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Apr 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487640637 | NPPES |
| Ohio | MEDICAID | 0766523 |
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