Provider Demographics
NPI:1588687206
Name:SCHWEMER, CHASSIE ELESE (OD)
Entity type:Individual
Prefix:DR
First Name:CHASSIE
Middle Name:ELESE
Last Name:SCHWEMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:CHASSIE
Other - Middle Name:
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 N DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:KENTON
Mailing Address - State:OH
Mailing Address - Zip Code:43326-1575
Mailing Address - Country:US
Mailing Address - Phone:419-673-5201
Mailing Address - Fax:
Practice Address - Street 1:315 N DETROIT ST
Practice Address - Street 2:
Practice Address - City:KENTON
Practice Address - State:OH
Practice Address - Zip Code:43326-1575
Practice Address - Country:US
Practice Address - Phone:740-387-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5572152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2745067OtherUNITED HEALTHCARE
OH7273853OtherAETNA
OH000000503503OtherANTHEM
OH2616333Medicaid
OHP00359213OtherRAILROAD MEDICARE
OH2745067OtherUNITED HEALTHCARE
OH000000503503OtherANTHEM