MEDICARE: DR. RAYMOND JOSEPH 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	152W00000X	Optometrist	1247-2	KS

General Provider Information

NPI Number	:	1558320200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND JOSEPH SCHMIDT O.D.

Provider Business Mailing Address
First Line	:	338 W 7TH ST
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3054
Country	:	US
Telephone Number	:	785-762-4422
Fax Number	:	785-762-4292

Provider Business Practice Location Address
First Line	:	338 W 7TH ST
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3054
Country	:	US
Telephone Number	:	785-762-4422
Fax Number	:	785-762-4292

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/08/2007

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