MEDICARE: LINDSAY SCHAD

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	OP1000367	DC
2	152W00000X	Optometrist	2015020225	MO

General Provider Information

NPI Number	:	1215312913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY SCHAD

Provider Business Mailing Address
First Line	:	PO BOX 207158
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-7158
Country	:	US
Telephone Number	:	636-200-4393
Fax Number	:

Provider Business Practice Location Address
First Line	:	8562 EAGER RD
Second Line	:
City	:	BRENTWOOD
State	:	MO
Zip	:	63144-1435
Country	:	US
Telephone Number	:	314-785-7272
Fax Number	:	314-785-0519

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

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	12/03/2020

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Directions to “ LINDSAY SCHAD ” Practice Location

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