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NPI Code Detail

MEDICARE: DR. ADAM MICHAEL SCHLUTERMAN O.D.

MEDICARE:  DR. ADAM MICHAEL SCHLUTERMAN  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
1152W00000XOptometrist2612AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
24T028OTHERARMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316102437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM MICHAEL SCHLUTERMAN O.D.
Provider Business Mailing Address
First Line : 9220 HIGHWAY 71 S
Second Line : SUITE 10
City : FORT SMITH
State : AR
Zip : 72916-9117
Country : US
Telephone Number : 479-646-2555
Fax Number : 479-434-4140
Provider Business Practice Location Address
First Line : 9220 HIGHWAY 71 S
Second Line : SUITE 10
City : FORT SMITH
State : AR
Zip : 72916-9117
Country : US
Telephone Number : 479-646-2555
Fax Number : 479-434-4140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2008
Last Update Date : 10/23/2009

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