MEDICARE: DR. LAWRENCE D. SCHONHOFEN 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	1000	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09814	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598713224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE D. SCHONHOFEN O.D.

Provider Business Mailing Address
First Line	:	6210 SPRING PARK RD
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-7414
Country	:	US
Telephone Number	:	336-778-0690
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 N BRIDGE ST
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-3407
Country	:	US
Telephone Number	:	336-835-1312
Fax Number	:

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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