Healthcare Provider Details

I. General information

NPI: 1548576416
Provider Name (Legal Business Name): HUNTER H SNYDER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2010
Last Update Date: 08/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 HIGHWAY 72 W STE E
MADISON AL
35758-6420
US

IV. Provider business mailing address

7950 HIGHWAY 72 W STE E
MADISON AL
35758-6420
US

V. Phone/Fax

Practice location:
  • Phone: 256-830-1050
  • Fax:
Mailing address:
  • Phone: 256-830-1050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-C37-TA-871
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: