# SECOND SIGHT REHAB PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063420172
- **Authorized official:** STEPHANIE SCHMIEDECKE OD (OPTOMETRIST, PRESIDENT)
- **Authorized official phone:** (832) 541-9186

## Contact information

- **Practice address:** 4101 NW 89TH BLVD, SHANDS REHABILITATION HOSPITAL, GAINESVILLE, FL 32606-3813
- **Practice address phone:** (352) 265-5491
- **Practice address fax:** (352) 265-5431
- **Mailing address:** 62 TURKEY CRK, ALACHUA, FL 32615-9500
- **Mailing address phone:** (832) 541-9186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 12/17/2007
