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NPI Code Detail

MEDICARE: DANIEL E SCHOTT OD

MEDICARE: DANIEL E SCHOTT OD
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
1152W00000XOptometristOEG001451PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SC1622333OTHERPAHIGHMARK BCBS

General Provider Information

NPI Number : 1801848700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL E SCHOTT OD
Provider Business Mailing Address
First Line : 21 WILLOW ST
Second Line :
City : PORT ALLEGANY
State : PA
Zip : 16743-1334
Country : US
Telephone Number : 814-642-9408
Fax Number : 814-642-9484
Provider Business Practice Location Address
First Line : 21 WILLOW ST
Second Line :
City : PORT ALLEGANY
State : PA
Zip : 16743-1334
Country : US
Telephone Number : 814-642-9408
Fax Number : 814-642-9484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 12/11/2008

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