Healthcare Provider Details

I. General information

NPI: 1295875722
Provider Name (Legal Business Name): DAVID M. SCHNEIDER, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W KEMPER RD
CINCINNATI OH
45246-2511
US

IV. Provider business mailing address

4452 EASTGATE BLVD SUITE 305
CINCINNATI OH
45245-1584
US

V. Phone/Fax

Practice location:
  • Phone: 513-671-6112
  • Fax: 513-671-6386
Mailing address:
  • Phone: 513-752-5700
  • Fax: 513-752-5716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MICHAEL SCHNEIDER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 513-752-5700