MEDICARE: DR. DONALD EDWARD SCHAAG 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	TO2334	MO

General Provider Information

NPI Number	:	1073696811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD EDWARD SCHAAG O.D.

Provider Business Mailing Address
First Line	:	12027 MCGEE CT
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64145-1554
Country	:	US
Telephone Number	:	816-942-4657
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 HILLCREST ROAD
Second Line	:	SUITE R-20A
City	:	KANSAS CITY
State	:	MO
Zip	:	64138
Country	:	US
Telephone Number	:	816-765-2500
Fax Number	:	816-765-6354

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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