Provider Demographics
NPI:1063423705
Name:SCHIEDLER, VIVIAN (MD)
Entity type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:
Last Name:SCHIEDLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:
Other - Last Name:FARELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:251 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1515
Mailing Address - Country:US
Mailing Address - Phone:541-708-6393
Mailing Address - Fax:844-373-1899
Practice Address - Street 1:251 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1515
Practice Address - Country:US
Practice Address - Phone:541-708-6393
Practice Address - Fax:844-373-1899
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242649207W00000X
ORMD157237207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00480800OtherMEDICARE PIN
VA344067OtherANTHEM SERVICES
I32097Medicare UPIN
VAP00480800OtherMEDICARE PIN