Individual
DR. JUSTIN MICHAEL SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 WARD AVE, CARUTHERSVILLE, MO 63830-1451
(573) 333-3937
(573) 333-3938
Mailing address
1502 BRAYTON AVE, DYERSBURG, TN 38024-3159
(731) 285-5411
(731) 285-8481
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
TN2451
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0797303
CIGNA
TN
01
—
150674
BETTER HEALTH
TN
05
—
3722767
—
TN
01
—
4067790
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
05/27/2006
Last updated
12/12/2018
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