Provider Demographics
NPI:1447306717
Name:SCHULZ, HAROLD ALBERT (OD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ALBERT
Last Name:SCHULZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5900 STATE FARM DR
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-2149
Mailing Address - Country:US
Mailing Address - Phone:707-206-3208
Mailing Address - Fax:707-206-3206
Practice Address - Street 1:5900 STATE FARM DR
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2149
Practice Address - Country:US
Practice Address - Phone:707-206-3208
Practice Address - Fax:707-206-3206
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7760T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist