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Individual
STEPHANIE SCHMIEDECKE
Active
Individual
STEPHANIE SCHMIEDECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6254TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
6254TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
OPC3741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155480002
—
TX
05
—
621242500
—
FL
Enumeration date
07/04/2006
Last updated
11/19/2019
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