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Individual

KEVIN D SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5323 MOUNT VIEW RD, ANTIOCH, TN 37013-2308
(615) 731-8900
(615) 731-8990
Mailing address
817 STALCUP CT, FRANKLIN, TN 37064-5046
(615) 791-7637

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1329
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3451027
AETNA
TN
01
3451334
AETNA
TN
05
3598366
TN
01
4062022
BCBS
TN
01
4062033
BCBS
TN
01
4062044
BCBS
TN
01
4064075
BCBS
TN
01
4082325
BCBS
TN
01
4092399
BCBS
TN
01
5256068
AETNA
TN
01
7038576
AETNA
TN
01
910688
BLOCK
TN
01
TN1329
EYEMED
TN
Enumeration date
10/31/2005
Last updated
06/29/2009
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