MEDICARE: JAMES L. SCHMITT 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	OEG000148	PA

General Provider Information

NPI Number	:	1790759074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES L. SCHMITT O.D.

Provider Business Mailing Address
First Line	:	2214 STATE ROUTE 405
Second Line	:
City	:	MUNCY
State	:	PA
Zip	:	17756-6530
Country	:	US
Telephone Number	:	570-546-6129
Fax Number	:	570-546-7689

Provider Business Practice Location Address
First Line	:	2214 STATE ROUTE 405
Second Line	:
City	:	MUNCY
State	:	PA
Zip	:	17756-6530
Country	:	US
Telephone Number	:	570-546-6129
Fax Number	:	570-546-7689

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	04/17/2008

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Directions to “ JAMES L. SCHMITT O.D.” Practice Location

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