Provider Demographics
NPI:1306244132
Name:HAROLD L. SCHICK, M.D.,INC
Entity type:Organization
Organization Name:HAROLD L. SCHICK, M.D.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:209-383-4200
Mailing Address - Street 1:436 E YOSEMITE AVE
Mailing Address - Street 2:STE A
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8400
Mailing Address - Country:US
Mailing Address - Phone:209-383-4200
Mailing Address - Fax:209-388-0629
Practice Address - Street 1:436 E YOSEMITE AVE
Practice Address - Street 2:STE A
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8400
Practice Address - Country:US
Practice Address - Phone:209-383-4200
Practice Address - Fax:209-388-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A253631Medicaid
180043023OtherRAILROAD MEDICARE
CAA24406Medicare UPIN
CA0490700001Medicare NSC