MEDICARE: RYAN C. SCHAMERLOH, OD

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	6956TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356500730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYAN C. SCHAMERLOH, OD

Provider Business Mailing Address
First Line	:	2959 S BUCKNER BLVD STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-6950
Country	:	US
Telephone Number	:	214-239-2176
Fax Number	:	214-239-2177

Provider Business Practice Location Address
First Line	:	2959 S BUCKNER BLVD STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-6950
Country	:	US
Telephone Number	:	214-239-2176
Fax Number	:	214-239-2177

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RYAN C. SCHAMERLOH
Credential	:	OD
Telephone Number	:	214-239-2176

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	12/19/2025

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