Schmiedecke, Stephanie

Schmiedecke, Stephanie is an individual health care provider with primary practice located at 9725 Datapoint Dr , San Antonio TX 78229-2384. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Schmiedecke, Stephanie can be contacted via phone (210) 283-6800.

Contact Information

Primary practice address
9725 Datapoint Dr San Antonio TX 78229-2384
Phone: (210) 283-6800
Fax: (210) 283-6825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPC3741 Florida
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 6254TG Texas
Eye and Vision Services Providers / Optometrist 152W00000X 6254TG Texas

Profile Details

NPI number 1043240831
LBN Legal business name Schmiedecke, Stephanie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Nov 19th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043240831 NPPES
Florida MEDICAID 621242500
Florida MEDICAID 155480002

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