MEDICARE: DR. WILLIAM STEPHEN SCHMIDT 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	152WC0802X	Corneal and Contact Management Optometrist	OEG-000847	PA
2	152W00000X	Optometrist	OEG-000847	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	396727	OTHER	PA	NATIONAL VISION ADMINIS
2	813814	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1487793717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM STEPHEN SCHMIDT O.D.

Provider Business Mailing Address
First Line	:	200 NESHAMINY MALL
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-1600
Country	:	US
Telephone Number	:	215-953-8483
Fax Number	:	215-357-5287

Provider Business Practice Location Address
First Line	:	200 NESHAMINY MALL
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-1600
Country	:	US
Telephone Number	:	215-953-8483
Fax Number	:	215-357-5287

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	02/04/2025

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