Provider Demographics
NPI:1306046925
Name:SCHMIT, TARI LEE (OD)
Entity type:Individual
Prefix:DR
First Name:TARI
Middle Name:LEE
Last Name:SCHMIT
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 1:409 SW REDWOOD CV
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2303
Mailing Address - Country:US
Mailing Address - Phone:772-871-9008
Mailing Address - Fax:
Practice Address - Street 1:1331 SE PORT ST LUCIE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5331
Practice Address - Country:US
Practice Address - Phone:772-398-4500
Practice Address - Fax:772-398-4502
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-22
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3420152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist