Provider Demographics
NPI:1871590455
Name:SCHLABACH, WALTER ERNEST (OD)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:ERNEST
Last Name:SCHLABACH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:243 NEFF AVE
Mailing Address - Street 2:STE V
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3486
Mailing Address - Country:US
Mailing Address - Phone:540-433-1339
Mailing Address - Fax:540-433-1339
Practice Address - Street 1:243 NEFF AVE
Practice Address - Street 2:STE V
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3486
Practice Address - Country:US
Practice Address - Phone:540-433-1339
Practice Address - Fax:540-433-1339
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0595152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA15218C24100285OtherDCN
VA9202463Medicaid
VA1871590455Medicare PIN