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Individual

MATTHEW J SCHAEDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
13-0001276
DE
152W00000X
Optometrist
Primary
OEG002689
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000022556
DE
01
110998
EYEMED
DE
01
11220816
CAQH
DE
01
161525705
BCBS
DE
01
7383169
AETNA
DE
01
G00016
MEDICARE GROUP PIN
DE
Enumeration date
08/16/2006
Last updated
03/13/2017
Update your record

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