Individual
GARY V. SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1002 LEXINGTON RD, GEORGETOWN, KY 40324-1463
(502) 868-0422
(502) 867-1967
Mailing address
1002 LEXINGTON RD, GEORGETOWN, KY 40324-1463
(502) 868-0422
(502) 867-1967
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0988DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
01
—
410018421
RR MEDICARE PIN
KY
05
—
77009884
—
KY
01
—
77902674
MEDICAID GROUP NUMBER
KY
01
—
CN0474
RR MEDICARE GROUP
KY
Enumeration date
07/24/2006
Last updated
06/11/2008
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