Provider Demographics
NPI:1932537271
Name:SCHLEMMER, ANTHONY (LDO)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:SCHLEMMER
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 CRAGGIE HOPE RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37082-9240
Mailing Address - Country:US
Mailing Address - Phone:931-388-9041
Mailing Address - Fax:931-388-4254
Practice Address - Street 1:1301 TROTWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4702
Practice Address - Country:US
Practice Address - Phone:931-388-9041
Practice Address - Fax:931-388-4254
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPO2120156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician