Provider Demographics
NPI:1427161611
Name:SCHMIDT, BARRETT CHRISTOPHER (OD)
Entity type:Individual
Prefix:DR
First Name:BARRETT
Middle Name:CHRISTOPHER
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 E 23RD ST
Mailing Address - Street 2:C/O SCHMIDT FAMILY EYE CARE
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2448
Mailing Address - Country:US
Mailing Address - Phone:402-727-0909
Mailing Address - Fax:402-721-1825
Practice Address - Street 1:1035 E 23RD ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2448
Practice Address - Country:US
Practice Address - Phone:402-727-0909
Practice Address - Fax:402-721-1825
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1142152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100250497-00Medicaid
NA1292OtherMEDICARE PTAN
NE100250497-00Medicaid
NA1292OtherMEDICARE PTAN
NE6503020001Medicare NSC