Healthcare Provider Details

I. General information

NPI: 1417714510
Provider Name (Legal Business Name): KARI SCHMITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4606 COMMERCE VALLEY RD STE 201
EAU CLAIRE WI
54701-7075
US

IV. Provider business mailing address

4606 COMMERCE VALLEY RD STE 201
EAU CLAIRE WI
54701-7075
US

V. Phone/Fax

Practice location:
  • Phone: 715-833-2277
  • Fax: 715-833-2295
Mailing address:
  • Phone: 715-833-2277
  • Fax: 715-833-2295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: