Healthcare Provider Details

I. General information

NPI: 1558401893
Provider Name (Legal Business Name): SCHMITZER EYECARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11973 SWEETWATER DR
GRAND LEDGE MI
48837-9196
US

IV. Provider business mailing address

11973 SWEETWATER DR
GRAND LEDGE MI
48837-9196
US

V. Phone/Fax

Practice location:
  • Phone: 517-622-2020
  • Fax: 517-627-4397
Mailing address:
  • Phone: 517-622-2020
  • Fax: 517-627-4397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW H. SCHMITZER
Title or Position: OPTOMETRIST, PRESIDENT
Credential: O.D.
Phone: 517-622-2020