Jacob L Schoenenberger in Evansville - Optometrist
Jacob L Schoenenberger - NPI 1710976311
Jacob L Schoenenberger is a Optometrist in Evansville, Wisconsin. Jacob L Schoenenberger practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jacob L Schoenenberger is 1710976311. The last update date is 2012-11-14.
Jacob L Schoenenberger's current location address is 114 South Madison St, Evansville, Wisconsin. You can contact this provider via phone number 6088824990 and fax number 6088823980. The mailing address for Jacob L Schoenenberger is 114 South Madison St, Evansville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob L Schoenenberger |
|---|---|
| Address | 114 South Madison St, Evansville, Wisconsin |
| Phone Number | 6088824990 |
| Fax Number | 6088823980 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1710976311 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2012-11-14 |
Provider Mailing Address Detail
| Address | 114 South Madison St |
|---|---|
| City | Evansville |
| State | Wisconsin (WI) |
| Post Code | 535361320 |
| Phone Number | 6088824990 |
| Fax Number | 6088823980 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2327 |
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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 |
|---|---|---|---|
| 38578400 | WI | -- |
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What is the Jacob L Schoenenberger's unique identification number?
The Jacob L Schoenenberger has been assigned the NPI (National Provider Identifier) Number 1710976311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jacob L Schoenenberger's physical address?
The Jacob L Schoenenberger is physically located at 114 South Madison St, in the city of Evansville, WI, with the postal code 535361320.
What is Jacob L Schoenenberger's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacob L Schoenenberger is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710976311 to Jacob L Schoenenberger?
The Centers for Medicare & Medicaid Services originally issued the 1710976311 to Jacob L Schoenenberger on 2005-10-17.
As of what date were the Jacob L Schoenenberger's details last updated?
The information pertaining to the Jacob L Schoenenberger, including its address, specialty, and other details, was most recently updated on 2012-11-14.
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