Healthcare Provider Details

I. General information

NPI: 1831178219
Provider Name (Legal Business Name): DR. KARINA A SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 06/22/2020
Certification Date: 06/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E 86TH ST
INDIANAPOLIS IN
46240-1807
US

IV. Provider business mailing address

1035 N POST RD STE B
INDIANAPOLIS IN
46219-4245
US

V. Phone/Fax

Practice location:
  • Phone: 317-844-5500
  • Fax: 317-208-2248
Mailing address:
  • Phone: 317-449-2122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18003341A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: