Healthcare Provider Details

I. General information

NPI: 1831804038
Provider Name (Legal Business Name): MATTHEW SCOTT SCHROEDER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
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: 360-457-1686
Mailing address:
  • Phone: 425-638-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD61432392
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: