Healthcare Provider Details

I. General information

NPI: 1972579480
Provider Name (Legal Business Name): RAYMOND A SCHULTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 12/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 RAPID RUN RD STE 2
CINCINNATI OH
45238-4260
US

IV. Provider business mailing address

5340 RAPID RUN RD STE 2
CINCINNATI OH
45238-4260
US

V. Phone/Fax

Practice location:
  • Phone: 513-922-2590
  • Fax: 513-922-8299
Mailing address:
  • Phone: 513-891-2813
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35-039886
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: