Healthcare Provider Details

I. General information

NPI: 1699754077
Provider Name (Legal Business Name): SNYDER& SNYDER& SCHARF-SNYDER PTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 LONG BEACH BLVD
SHIP BOTTOM NJ
08008-4443
US

IV. Provider business mailing address

1808 LONG BEACH BLVD
SHIP BOTTOM NJ
08008-4443
US

V. Phone/Fax

Practice location:
  • Phone: 609-494-6868
  • Fax: 609-494-0990
Mailing address:
  • Phone: 609-494-6868
  • Fax: 609-494-0990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT SNYDER
Title or Position: PARTNER
Credential: O.D.
Phone: 609-494-6868