MEDICARE: DR. AIMEE MARIE SCHULTE 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	T550	SD

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

General Provider Information

NPI Number	:	1992860886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AIMEE MARIE SCHULTE O.D.

Provider Business Mailing Address
First Line	:	22 19TH ST SE
Second Line	:
City	:	WATERTOWN
State	:	SD
Zip	:	57201-3938
Country	:	US
Telephone Number	:	605-753-3937
Fax Number	:	605-753-0472

Provider Business Practice Location Address
First Line	:	22 19TH ST SE
Second Line	:
City	:	WATERTOWN
State	:	SD
Zip	:	57201-3938
Country	:	US
Telephone Number	:	605-753-3937
Fax Number	:	605-753-0472

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	09/07/2012

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