MEDICARE: STEVEN SCHAEFER 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
1	152W00000X	Optometrist	781	SD

General Provider Information

NPI Number	:	1821720186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN SCHAEFER OD

Provider Business Mailing Address
First Line	:	1331 VILLAGE DR APT 303
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-8145
Country	:	US
Telephone Number	:	605-545-0391
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 W MAIN ST STE 4
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-2496
Country	:	US
Telephone Number	:	605-399-3811
Fax Number	:

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

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	06/27/2022

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Directions to “ STEVEN SCHAEFER OD” Practice Location

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