Individual
GEOFFREY M SNEDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009938
IL
152W00000X
Optometrist
4901004159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009938
—
IL
01
—
0814870001
MEDICARE NSC NUMBER
IL
01
—
0814870010
MEDICARE NSC NUMBER
IL
01
—
0814870011
MEDICARE NSC NUMBER
IL
01
—
0814870023
MEDICARE NSC NUMBER
IL
01
—
0814870030
MEDICARE NSC NUMBER
IL
01
—
129094
HEALTH ALLIANCE
—
01
—
217445
EYEMED
—
01
—
900G510070
BCBS
—
05
—
944553494
—
MI
05
—
944564620
—
MI
01
—
P00434355
MEDICARE RAILROAD
IL
Enumeration date
06/04/2006
Last updated
10/06/2008
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