Individual
DR. KENNETH G SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
72 FALLS RD, TOCCOA, GA 30577-1653
(706) 886-2120
(706) 886-2646
Mailing address
72 FALLS RD, TOCCOA, GA 30577-1653
(706) 886-2120
(706) 886-2646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
741
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00004562B
—
GA
01
—
0066145
CIGNA
GA
01
—
202I417677
MEDICARE PTAN
GA
01
—
24288
BLUE CROSS BLUE SHEILD
GA
Enumeration date
10/06/2005
Last updated
01/27/2015
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