MEDICARE: SCHNEIDER EYE CENTER INC

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	OPC1304	FL

General Provider Information

NPI Number	:	1235632183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHNEIDER EYE CENTER INC

Provider Business Mailing Address
First Line	:	7450 SW 57TH AVE
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5302
Country	:	US
Telephone Number	:	305-310-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	7450 SW 57TH AVE
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5302
Country	:	US
Telephone Number	:	305-662-9300
Fax Number	:	305-661-0081

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	LLOYD SCHNEIDER
Credential	:	DO
Telephone Number	:	305-310-5588

Provider Enumeration Date	:	03/16/2018
Last Update Date	:	04/10/2019

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