Individual
DR. LORETTA K SCHMIDGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD PC
Contact information
Practice address
3211 CARLISLE RD, DOVER, PA 17315-4515
(717) 292-3668
(717) 292-1034
Mailing address
3211 CARLISLE RD, DOVER, PA 17315-4515
(717) 292-3668
(717) 292-1034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000268
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00148941
MEDICARE ID TYPE UNSPECIFIED
—
01
—
01528701
NCAS PA
PA
01
—
01528701
CAPITAL BLUE CROSS PROV
—
05
—
01898579
—
PA
01
—
02523900
CAPITAL BLUE CROSS GROUP
—
01
—
18107
HEALTH AMERICA ASSURANCE
—
01
—
2421907
AETNA
—
01
—
2923668
VISION SERVICE PLAN
—
01
—
30540
GROUP VISION ASSOC
—
01
—
3302
DAVIS VISION
—
01
—
95045
VISION BENEFITS OF AMERIC
—
01
—
A13345
AMERIHEALTH ADMINISTRATOR
—
01
—
P00148941
MEDICARE RAILROAD
PA
01
—
P00148941
MEDICARE ID
—
01
—
SC113345
HIGHMARK BLUE SHIELD
—
Enumeration date
03/31/2006
Last updated
03/08/2010
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