Healthcare Provider Details
I. General information
NPI: 1831540475
Provider Name (Legal Business Name): RACHEL SCHNEIDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/24/2016
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1932 ALCOA HWY STE 255
KNOXVILLE TN
37920-1508
US
IV. Provider business mailing address
1932 ALCOA HWY STE 255
KNOXVILLE TN
37920-1508
US
V. Phone/Fax
- Phone: 865-244-2020
- Fax:
- Phone: 865-244-2020
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | ME155720 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 61401 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: