Provider Demographics
NPI:1083688501
Name:SCHOONOVER, REBECCA LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LYNN
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PECKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18452-2438
Mailing Address - Country:US
Mailing Address - Phone:570-489-8733
Mailing Address - Fax:570-489-8702
Practice Address - Street 1:240 MAIN ST
Practice Address - Street 2:
Practice Address - City:PECKVILLE
Practice Address - State:PA
Practice Address - Zip Code:18452-2438
Practice Address - Country:US
Practice Address - Phone:570-489-8733
Practice Address - Fax:570-489-8702
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001610152W00000X
FLOPC4057152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1780852434OtherNPPES