Individual
DAVID L SCHMOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
537 MOUNT JACKSON RD, NEW CASTLE, PA 16102-2619
(724) 667-2020
(724) 667-9201
Mailing address
537 MOUNT JACKSON RD, NEW CASTLE, PA 16102-2619
(724) 667-2020
(724) 667-9201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG000930
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07040026
—
PA
01
—
093567
HIGHMARK BC/BSHIELD
—
01
—
251234458
TRICARE NORTH REGION
PA
01
—
313155
UPMC HEALTH PLAN
PA
01
—
50532
HEALTH AMERICA/HEALTH ASS
—
01
—
5140137
AETNA
—
Enumeration date
07/28/2005
Last updated
10/07/2008
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