Healthcare Provider Details

I. General information

NPI: 1275013492
Provider Name (Legal Business Name): MOLLY JEAN ELSON SNIDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MOLLY JEAN ELSON MD

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # I-13
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE # I-13
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35.154141
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: