MEDICARE: RAYMOND E SCHWARTZ PA

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	OPC1251	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19019	OTHER		BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861651978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAYMOND E SCHWARTZ PA

Provider Business Mailing Address
First Line	:	3015 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2111
Country	:	US
Telephone Number	:	561-967-4355
Fax Number	:	561-967-4466

Provider Business Practice Location Address
First Line	:	3015 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2111
Country	:	US
Telephone Number	:	561-967-4355
Fax Number	:	561-967-4466

Authorized Official
Title or Position	:	OD
Name	:	DR. RAYMOND E SCHWARTZ
Credential	:	OD
Telephone Number	:	561-967-4355

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	07/02/2008

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Directions to “RAYMOND E SCHWARTZ PA ” Practice Location

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