Healthcare Provider Details

I. General information

NPI: 1831387950
Provider Name (Legal Business Name): CLAIR JOANNE HILCHIE-SCHMIDT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAIR JH SCHMIDT D.O.

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 07/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 E HERNDON AVE SUITE 301
FRESNO CA
93720-3326
US

IV. Provider business mailing address

1360 E HERNDON AVE SUITE 301
FRESNO CA
93720-3326
US

V. Phone/Fax

Practice location:
  • Phone: 559-486-5000
  • Fax: 559-439-7854
Mailing address:
  • Phone: 559-486-5000
  • Fax: 559-439-7854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number20A13424
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number036-115402
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number34009322
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number5101017724
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: