Kenneth A Schaidle in Peoria - Optometrist
Kenneth A Schaidle - NPI 1639166226
Kenneth A Schaidle is a Optometrist in Peoria, Illinois. Kenneth A Schaidle practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth A Schaidle is 1639166226. The last update date is 2014-01-10.
Kenneth A Schaidle's current location address is 8309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096939540 and fax number 3096939542. The mailing address for Kenneth A Schaidle is 8309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Schaidle |
|---|---|
| Address | 8309 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096939540 |
| Fax Number | 3096939542 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1639166226 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2014-01-10 |
Provider Mailing Address Detail
| Address | 8309 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616152170 |
| Phone Number | 3096939540 |
| Fax Number | 3096939542 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008408 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46008408 | IL | -- | |
| 410033418 | IL | MEDICARE RAILROAD | |
| 7215175 | IL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth A Schaidle by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth A Schaidle has been assigned the NPI (National Provider Identifier) 1639166226. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kenneth A Schaidle is located?
The Kenneth A Schaidle is situated at the following address: 8309 N Knoxville Ave, Peoria, IL, 616152170.
What is Kenneth A Schaidle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth A Schaidle is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
When was the Kenneth A Schaidle's 1639166226 issued?
The Kenneth A Schaidle's 1639166226 was issued on 2005-09-29.
When was the Kenneth A Schaidle's information last updated?
The Kenneth A Schaidle's information was last updated on 2014-01-10.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH