Individual
DR. SARA ELLEN SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2533 WOODSON RD, SAINT LOUIS, MO 63114-5436
(314) 423-3874
(314) 423-2872
Mailing address
2533 WOODSON RD, SAINT LOUIS, MO 63114-5436
(314) 423-3874
(314) 423-2872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005019940
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11488946
CAQH
—
01
—
2005019940
MISSOURI LICENSE
MO
Enumeration date
12/21/2005
Last updated
01/13/2011
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