Organization
MARK A SNYDER OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SNYDER OD (OWNER)
(317) 449-2122
Entity
Organization
Contact information
Practice address
1035 N POST RD, INDIANAPOLIS, IN 46219-4234
(317) 449-2122
(317) 449-2123
Mailing address
1035 N POST RD, INDIANAPOLIS, IN 46219-4234
(317) 449-2122
(317) 449-2123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009910
—
IN
Enumeration date
12/07/2017
Last updated
06/11/2019
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