Individual
EDWIN M SCHOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
21 WILLOW ST, PORT ALLEGANY, PA 16743-1334
(814) 642-9408
Mailing address
21 WILLOW ST, PORT ALLEGANY, PA 16743-1334
(814) 642-9408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000103
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323300
UPMC PROVIDER #
PA
01
—
38767
COLE MANAGED VISION DR#
PA
01
—
50059
DAVIS VISION
PA
01
—
PA05169
VBA
PA
01
—
PA5169
EYEMED
PA
01
—
SC030043
HIGHMARK BCBS
PA
Enumeration date
07/28/2005
Last updated
03/16/2011
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