Healthcare Provider Details

I. General information

NPI: 1659292621
Provider Name (Legal Business Name): MATTHEW S. SCHROEDER, OD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 152ND PL NE STE 100
BELLEVUE WA
98007-4879
US

IV. Provider business mailing address

1951 152ND PL NE STE 100
BELLEVUE WA
98007-4879
US

V. Phone/Fax

Practice location:
  • Phone: 425-638-0700
  • Fax:
Mailing address:
  • Phone: 425-638-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW SCOTT SCHROEDER
Title or Position: OWNER
Credential: OD
Phone: 407-284-0632