Individual
EDWARD JOHN SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
111 W. MILL ST., OSSIAN, IN 46777
(260) 622-4000
(260) 622-4009
Mailing address
PO BOX 101, OSSIAN, IN 46777-0101
(260) 622-4000
(260) 622-4009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003280
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200391880
—
IN
05
—
200483170
—
IN
Enumeration date
03/09/2006
Last updated
02/22/2010
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