KEVIN D SCHMIDT OD NPI 1063403095

NPI Information

  • NPI: 1063403095
  • Provider Name: KEVIN D SCHMIDT, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5323 MOUNT VIEW RD
    ANTIOCH, TN
    ZIP 37013
  • Phone: (615) 731-8900

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NPI Details

Kevin D Schmidt, OD is an optometrist in Antioch, TN with 36 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Kevin D Schmidt, OD NPI is 1063403095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year:1990

The provider's business location address is:

5323 MOUNT VIEW RD
ANTIOCH, TN
ZIP 37013-308
Phone: (615) 731-8900
Fax: (615) 731-8990

The NPI 1063403095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/31/2005 and was last updated on 6/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristODT1329TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TN1329OTHERTENNESSEEEYEMED
2910688OTHERTENNESSEEBLOCK
34062022OTHERTENNESSEEBCBS
44092399OTHERTENNESSEEBCBS
53946190MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
63598366MEDICAIDTENNESSEE
73451334OTHERTENNESSEEAETNA
84062033OTHERTENNESSEEBCBS
93598362MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
104062044OTHERTENNESSEEBCBS
113946194MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
123598365MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
134082325OTHERTENNESSEEBCBS
144064075OTHERTENNESSEEBCBS
153598361MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
167038576OTHERTENNESSEEAETNA
173451027OTHERTENNESSEEAETNA
185256068OTHERTENNESSEEAETNA
19U03107MEDICARE UPINTENNESSEE
203598364MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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