Healthcare Provider Details

I. General information

NPI: 1487793717
Provider Name (Legal Business Name): WILLIAM STEPHEN SCHMIDT O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NESHAMINY MALL
BENSALEM PA
19020-1600
US

IV. Provider business mailing address

200 NESHAMINY MALL
BENSALEM PA
19020-1600
US

V. Phone/Fax

Practice location:
  • Phone: 215-953-8483
  • Fax: 215-357-5287
Mailing address:
  • Phone: 215-953-8483
  • Fax: 215-357-5287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOEG-000847
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG-000847
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier396727
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerNATIONAL VISION ADMINIS
# 2
Identifier813814
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: