Provider Demographics
NPI:1912667486
Name:JOHANN J. SCHLAGER, OD INC.
Entity type:Organization
Organization Name:JOHANN J. SCHLAGER, OD INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHANN
Authorized Official - Middle Name:JOSUE
Authorized Official - Last Name:SCHLAGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:310-483-6282
Mailing Address - Street 1:394 E YOSEMITE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8218
Mailing Address - Country:US
Mailing Address - Phone:209-383-1246
Mailing Address - Fax:209-383-0258
Practice Address - Street 1:394 E YOSEMITE AVE STE 100
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8218
Practice Address - Country:US
Practice Address - Phone:093-830-2582
Practice Address - Fax:209-383-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty