Individual
DR. JEFFREY G SCHMAKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3454 OAK ALLEY CT, STE 202, TOLEDO, OH 43606-1370
(419) 578-0057
(419) 578-0061
Mailing address
2237 KINGSTON DR, MAUMEE, OH 43537-1122
(419) 867-1819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3372-T967
OH
152WC0802X
Corneal and Contact Management Optometrist
3372-T967
OH
152WL0500X
Low Vision Rehabilitation Optometrist
3372-T967
OH
152WP0200X
Pediatric Optometrist
3372-T967
OH
152WS0006X
Sports Vision Optometrist
3372-T967
OH
152WV0400X
Vision Therapy Optometrist
3372-T967
OH
152WX0102X
Occupational Vision Optometrist
3372-T967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141689
ANTHEM BC/BS ID#
OH
01
—
03220
PARAMOUNT INSURANCE ID#
OH
01
—
1119160001
DMERC ID#
OH
01
—
116749
EYEMED/ECPA ID #
OH
01
—
201624211
VIP TAX ID#
OH
01
—
3372-T967
OPTOMETRIC LICENSE#
OH
01
—
341897615
TAX ID # OD PRACTICE
OH
Enumeration date
07/03/2006
Last updated
12/30/2009
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