MEDICARE: DR. WARREN S. SCHMITT O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC2388	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4322801	OTHER	FL	AETNA PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	20143	OTHER	FL	BCBS OF FL PROVIDER #

General Provider Information

NPI Number	:	1003982851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARREN S. SCHMITT O.D.

Provider Business Mailing Address
First Line	:	PO BOX 2082
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32727-2082
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 KNOX MCRAE DR
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-5492
Country	:	US
Telephone Number	:	321-268-2266
Fax Number	:	321-385-3926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	11/29/2010

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