Provider Demographics
NPI:1225228166
Name:STEVEN G SCHOEMER PC
Entity type:Organization
Organization Name:STEVEN G SCHOEMER PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHOEMER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-384-5225
Mailing Address - Street 1:3563 TOM AUSTIN HWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-3939
Mailing Address - Country:US
Mailing Address - Phone:615-384-5225
Mailing Address - Fax:615-384-1331
Practice Address - Street 1:3563 TOM AUSTIN HWY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3939
Practice Address - Country:US
Practice Address - Phone:615-384-5225
Practice Address - Fax:615-384-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT958152W00000X
TNOD2463152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN410038166OtherPALMETTO GBA-RR MEDICARE
TN3943986Medicaid
TN410038166OtherPALMETTO GBA-RR MEDICARE
TN0652680001Medicare NSC