Healthcare Provider Details

I. General information

NPI: 1205838943
Provider Name (Legal Business Name): DOUGLAS JAMES SCHUMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 W COOK RD
MANSFIELD OH
44907-2451
US

IV. Provider business mailing address

240 W COOK RD
MANSFIELD OH
44907-2451
US

V. Phone/Fax

Practice location:
  • Phone: 419-525-3737
  • Fax: 419-525-3740
Mailing address:
  • Phone: 419-525-3737
  • Fax: 419-525-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number35067416S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: