MEDICARE: DAVID M. SCHNEIDER, M.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
2	152WC0802X	Corneal and Contact Management Optometrist	5506/T2418	OH
3	207W00000X	Ophthalmology Physician

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

General Provider Information

NPI Number	:	1487794913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID M. SCHNEIDER, M.D.

Provider Business Mailing Address
First Line	:	4452 EASTGATE BLVD
Second Line	:	SUITE 305
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1584
Country	:	US
Telephone Number	:	513-752-5700
Fax Number	:	513-752-5716

Provider Business Practice Location Address
First Line	:	6779 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-5541
Country	:	US
Telephone Number	:	513-741-1313
Fax Number	:	513-385-3995

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DAVID MICHAEL SCHNEIDER
Credential	:	MD
Telephone Number	:	513-752-5700

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	09/09/2014

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