Organization
LORETTA K. SCHMIDGALL, O.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETTA K SCHMIDGALL O.D. (PRESIDENT)
(717) 292-3668
Entity
Organization
Contact information
Practice address
3211 CARLISLE RD, DOVER, PA 17315-4515
(717) 292-3668
(717) 292-1034
Mailing address
3211 CARLISLE RD, DOVER, PA 17315-4515
(717) 292-3668
(717) 292-1034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000268
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00148941
MEDICARE ID TYPE UNSPECIFIED
—
01
—
0104701000
AMERIHEALTH 65
—
01
—
01528701
CAPITAL BLUE CROSS
—
05
—
01898579
—
PA
01
—
02523900
CAPITAL BLUE CROSS
—
01
—
18107
HEALTH AMER HEALTH ASSUR
—
01
—
2421907
AETNA
—
01
—
5748087
FIRST HEALTH NETWORK
—
01
—
95045
VISION BENEFITS OF AMER
—
01
—
A13345
AMERIHEALTH ADMIN
—
01
—
P00148941
MEDICARE RR
PA
01
—
P00148941
MEDICARE ID
—
01
—
SC113345
HIGHMARK BLUE SHIELD
—
Enumeration date
03/26/2007
Last updated
07/18/2008
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