MEDICARE: LOUIS M SCHLESINGER 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	152WC0802X	Corneal and Contact Management Optometrist	001117	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4803085	OTHER	GA	BCBS OF GA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477557957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS M SCHLESINGER O.D.

Provider Business Mailing Address
First Line	:	216 CORDER RD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-3604
Country	:	US
Telephone Number	:	478-923-5872
Fax Number	:	478-922-9020

Provider Business Practice Location Address
First Line	:	216 CORDER RD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-3604
Country	:	US
Telephone Number	:	478-923-5872
Fax Number	:	478-922-9020

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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