Traci A. Schaum
Optometrist
6614 Logan Dr Evansville
Evansville
, Indiana 47715-8236
Traci A. Schaum
Optometrist
6614 Logan Dr Evansville
Evansville
, Indiana 47715-8236
(812) 477-2152
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Traci A. Schaum
- 6614 Logan Dr Evansville
- Evansville, IN
- Zip : 47715-8236
- Fax : (812) 477-2152
- Phone : (812) 477-6700
Second Address
- Traci A. Schaum
- 6614 Logan Dr Evansville
- Evansville, IN
- Zip : 47715-8236
- Fax : (812) 477-2152
- Phone : (812) 477-6700
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What type of doctor is Traci A. Schaum
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Is Traci A. Schaum a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18002245B | IN |
National Provider Identifier
| NPI | 1003978941 |
|---|---|
| Provider Name | Traci A. Schaum |
| First Address | Evansville, IN 47715-8236 |
| Second Address | Evansville, IN 47715-8236 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 636550 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.