Individual
DR. PAUL E SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 1ST ST NW, LE MARS, IA 51031-3508
(712) 546-4183
(712) 548-4101
Mailing address
120 1ST ST NW, LE MARS, IA 51031-3508
(712) 546-4183
(712) 548-4101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1782
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201699
—
IA
01
—
20169
BCBS
—
01
—
CC8412
RR MEDICARE
—
Enumeration date
02/27/2006
Last updated
05/02/2011
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