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Individual

JILL A SCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1930 E 20TH PL, SUITE 100, SCOTTSBLUFF, NE 69361-2708
(308) 632-2020
(308) 635-3641
Mailing address
PO BOX 8, SCOTTSBLUFF, NE 69363-0008
(308) 632-2020
(308) 635-3641

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1084 / 253
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06705
BLUE CROSS/ BLUE SHIELD
NE
01
239736
MIDLANDS CHOICE
NE
01
410048689
PALMETTO GBA RAILROAD
NE
Enumeration date
06/20/2005
Last updated
05/22/2008
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