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NPI Code Detail

MEDICARE: JERI ANN SCHNEEBECK O.D.

MEDICARE:   JERI ANN SCHNEEBECK  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1141CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10293200001OTHERCOPTAN

General Provider Information

NPI Number : 1184624579
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERI ANN SCHNEEBECK O.D.
Provider Business Mailing Address
First Line : 24200 E SMOKY HILL RD
Second Line :
City : AURORA
State : CO
Zip : 80016-1381
Country : US
Telephone Number : 720-870-2828
Fax Number : 720-870-2117
Provider Business Practice Location Address
First Line : 24200 E SMOKY HILL RD
Second Line :
City : AURORA
State : CO
Zip : 80016-1381
Country : US
Telephone Number : 720-870-2828
Fax Number : 720-870-2117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 05/03/2012

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Directions to “ JERI ANN SCHNEEBECK O.D.” Practice Location

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