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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1043240831 | NPPES |
| Florida | MEDICAID | 621242500 | |
| Florida | MEDICAID | 155480002 |
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