Provider Demographics
NPI:1487793717
Name:SCHMIDT, WILLIAM STEPHEN (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEPHEN
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NESHAMINY MALL
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1600
Mailing Address - Country:US
Mailing Address - Phone:215-953-8483
Mailing Address - Fax:215-357-5287
Practice Address - Street 1:200 NESHAMINY MALL
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1600
Practice Address - Country:US
Practice Address - Phone:215-953-8483
Practice Address - Fax:215-357-5287
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-000847152WC0802X, 152W00000X, 152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Not Answered152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396727OtherNATIONAL VISION ADMINIS
PA813814OtherAETNA
PASC97420OtherHORIZON BC BS