Healthcare Provider Details

I. General information

NPI: 1912667486
Provider Name (Legal Business Name): JOHANN J. SCHLAGER, OD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 E YOSEMITE AVE STE 100
MERCED CA
95340-8218
US

IV. Provider business mailing address

394 E YOSEMITE AVE STE 100
MERCED CA
95340-8218
US

V. Phone/Fax

Practice location:
  • Phone: 93-830-2582
  • Fax: 209-383-0258
Mailing address:
  • Phone: 209-383-1246
  • Fax: 209-383-0258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHANN JOSUE SCHLAGER
Title or Position: PRESIDENT/OWNER
Credential: OD
Phone: 310-483-6282