Healthcare Provider Details

I. General information

NPI: 1851622765
Provider Name (Legal Business Name): DAVID M. SCHNEIDER, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8760 UNION CENTRE BLVD
WEST CHESTER OH
45069-4876
US

IV. Provider business mailing address

4452 EASTGATE BLVD SUITE 305
CINCINNATI OH
45245-1584
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-0544
  • Fax: 513-454-0551
Mailing address:
  • Phone: 513-752-5700
  • Fax: 513-752-5716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number5506/T2418
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateOH

VIII. Authorized Official

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