Healthcare Provider Details

I. General information

NPI: 1437087590
Provider Name (Legal Business Name): KAYLA RENAE SCHISLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1664 NEIL AVE
COLUMBUS OH
43201-2333
US

IV. Provider business mailing address

210 W 5TH AVE UNIT 218
COLUMBUS OH
43201-4546
US

V. Phone/Fax

Practice location:
  • Phone: 614-930-6447
  • Fax:
Mailing address:
  • Phone: 989-450-7805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007483
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: