MEDICARE: DR. DONALD SCHAFER DORR 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	OPC001528	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1326134883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD SCHAFER DORR O.D.

Provider Business Mailing Address
First Line	:	7030 MANGO AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-2024
Country	:	US
Telephone Number	:	727-345-3480
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 DR MARTIN LUTHER KING JR ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33704-1202
Country	:	US
Telephone Number	:	727-894-2020
Fax Number	:	727-894-2020

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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