Basic Information
| Provider Information | |||||||||
| NPI: | 1497019764 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHUMANN | ||||||||
| FirstName: | FREDERICK | ||||||||
| MiddleName: | ALBERT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1387 | ||||||||
| Address2: | |||||||||
| City: | CASTLE ROCK | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801041387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3039618766 | ||||||||
| FaxNumber: | 3036882600 | ||||||||
| Practice Location | |||||||||
| Address1: | 1297 S PERRY ST | ||||||||
| Address2: | |||||||||
| City: | CASTLE ROCK | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801041977 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3039618766 | ||||||||
| FaxNumber: | 3036882600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2012 | ||||||||
| LastUpdateDate: | 07/01/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 18693 | CO | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.