MEDICARE: DR. KURT MATTHEW SCHULZ OD

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	KS003776	MI

General Provider Information

NPI Number	:	1154360311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURT MATTHEW SCHULZ OD

Provider Business Mailing Address
First Line	:	45460 MARKET ST
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48315-6224
Country	:	US
Telephone Number	:	586-580-2001
Fax Number	:	586-580-2026

Provider Business Practice Location Address
First Line	:	45460 MARKET ST
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48315-6224
Country	:	US
Telephone Number	:	586-580-2001
Fax Number	:	586-580-2026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	12/04/2025

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