Healthcare Provider Details

I. General information

NPI: 1366149940
Provider Name (Legal Business Name): BILIE JEAN SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 TRENTON AVE
FINDLAY OH
45840-1919
US

IV. Provider business mailing address

1161 TRENTON AVE
FINDLAY OH
45840-1919
US

V. Phone/Fax

Practice location:
  • Phone: 419-425-5611
  • Fax:
Mailing address:
  • Phone: 419-425-5611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberOP.011591-SC
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: