MEDICARE: H SCHMIDER INC

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	332H00000X	Eyewear Supplier	31TD00153400	NJ

General Provider Information

NPI Number	:	1780831966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H SCHMIDER INC

Provider Business Mailing Address
First Line	:	486 CEDAR LN.
Second Line	:
City	:	TEANECK
State	:	NJ
Zip	:	07666-1713
Country	:	US
Telephone Number	:	201-836-7785
Fax Number	:	201-836-3782

Provider Business Practice Location Address
First Line	:	486 CEDAR LN.
Second Line	:
City	:	TEANICK
State	:	NJ
Zip	:	07666-1713
Country	:	US
Telephone Number	:	201-836-7785
Fax Number	:	201-836-3782

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LINDA D SCHMIDER
Credential	:	DISPENSING OPTICIAN
Telephone Number	:	201-836-7785

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	09/10/2008

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