=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780831966
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | H SCHMIDER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2008
-----------------------------------------------------
Last Update Date | 09/10/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 486 CEDAR LN.
-----------------------------------------------------
City | TEANICK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07666-1713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-836-7785
-----------------------------------------------------
Fax | 201-836-3782
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 486 CEDAR LN.
-----------------------------------------------------
City | TEANECK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07666-1713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-836-7785
-----------------------------------------------------
Fax | 201-836-3782
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. LINDA D SCHMIDER
-----------------------------------------------------
Credential | DISPENSING OPTICIAN
-----------------------------------------------------
Telephone | 201-836-7785
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332H00000X
-----------------------------------------------------
Taxonomy Name | Eyewear Supplier
-----------------------------------------------------
License Number | 31TD00153400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------