MEDICARE: DR. TARI LEE SCHMIT O.D.

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	OPC3420	FL

General Provider Information

NPI Number	:	1306046925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARI LEE SCHMIT O.D.

Provider Business Mailing Address
First Line	:	409 SW REDWOOD CV
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2303
Country	:	US
Telephone Number	:	772-871-9008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 SE PORT ST LUCIE BLVD STE 103
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-5331
Country	:	US
Telephone Number	:	772-398-4500
Fax Number	:	772-398-4502

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

Provider Enumeration Date	:	07/22/2007
Last Update Date	:	08/23/2011

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