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Contact Information

MICHAEL R SCHROEDL, OD
2840 U.S. ROUTE 9W
RAVENA, NY12143
 Phone: 585-728-9890
 Fax: 585-728-5188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL R SCHROEDL · (Male)

NPI Number 1740285840
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/15/2005
Last updated 11/08/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # TUV004055-1
  • NY Medicaid 00879314
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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