Provider Demographics
NPI:1255306981
Name:SCHMITT, CHERYL E (OD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:E
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-2009
Mailing Address - Country:US
Mailing Address - Phone:520-364-3892
Mailing Address - Fax:520-805-4427
Practice Address - Street 1:549 E 10TH ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-2009
Practice Address - Country:US
Practice Address - Phone:520-364-3892
Practice Address - Fax:520-325-8300
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1211152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZV02704Medicare UPIN