MEDICARE: DR. TIMOTHY LUKE SCHNEIDER M.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	207W00000X	Ophthalmology Physician	ME68823	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	:	1730181983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY LUKE SCHNEIDER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11407
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35246-8575
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1909 BEACH BLVD
Second Line	:	STE 101
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-8608
Country	:	US
Telephone Number	:	904-247-5575
Fax Number	:	904-247-3375

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/22/2025

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