Provider Demographics
NPI:1871880815
Name:SCHMITT, JACOB FRANCIS (OD)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:FRANCIS
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8115
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47716-8115
Mailing Address - Country:US
Mailing Address - Phone:812-200-8112
Mailing Address - Fax:812-200-2823
Practice Address - Street 1:6436 E. FLORIDA STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715
Practice Address - Country:US
Practice Address - Phone:812-200-8112
Practice Address - Fax:812-200-2823
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN18003677A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400050655OtherPTAN