Individual
MICHAEL ROBERT SCHROEDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2840 U.S. ROUTE 9W, RAVENA, NY 12143
(585) 728-9890
(585) 728-5188
Mailing address
184 DOMAN RD, FREEHOLD, NY 12431-6026
(585) 314-6680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004055-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00879314
—
NY
Enumeration date
06/15/2005
Last updated
11/08/2017
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