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NPI Code Detail

MEDICARE: MARK A SNYDER O.D.

MEDICARE:   MARK A SNYDER  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
1152W00000XOptometrist18003340AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811949530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A SNYDER O.D.
Provider Business Mailing Address
First Line : 1035 N POST RD STE B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4245
Country : US
Telephone Number : 317-449-2122
Fax Number : 317-449-2123
Provider Business Practice Location Address
First Line : 1035 N POST RD STE B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4245
Country : US
Telephone Number : 317-449-2122
Fax Number : 317-449-2123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 10/05/2018

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Directions to “ MARK A SNYDER O.D.” Practice Location

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