MEDICARE: MICHAEL J. SCHERMER, MD PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist
2	207W00000X	Ophthalmology Physician	C341490	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ65793Z	OTHER	CA	BLUE SHIELD GROUP NUMBER

General Provider Information

NPI Number	:	1003878497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL J. SCHERMER, MD PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2620 HURLEY WAY
Second Line	:	SUITE A
City	:	SACRAMENTO
State	:	CA
Zip	:	95864-3789
Country	:	US
Telephone Number	:	916-453-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 HURLEY WAY
Second Line	:	SUITE A
City	:	SACRAMENTO
State	:	CA
Zip	:	95864-3789
Country	:	US
Telephone Number	:	916-453-1111
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JILL M BENNETT
Credential	:
Telephone Number	:	916-779-6925

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	02/21/2018

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