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NPI Code Detail

MEDICARE: DR. ERIC SCHWARTZ O.D.

MEDICARE: DR. ERIC SCHWARTZ 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
1152W00000XOptometrist1856DTKY

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 : 1700143377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC SCHWARTZ O.D.
Provider Business Mailing Address
First Line : 1151 S 2ND ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40203-2807
Country : US
Telephone Number : 502-931-8945
Fax Number :
Provider Business Practice Location Address
First Line : 5020 NORTON HEALTHCARE BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2835
Country : US
Telephone Number : 502-420-0173
Fax Number : 502-420-0174
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 11/02/2021

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