Organization
DR SNYDER OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A SNYDER OD (SOLE MEMBER)
(317) 219-9743
Entity
Organization
Contact information
Practice address
6020 E 82ND ST, MACY'S, INDIANAPOLIS, IN 46250
(317) 845-9168
(317) 845-9177
Mailing address
12925 WATER RIDGE DR, FISHERS, IN 46055-9650
(317) 219-9743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009910
—
IN
Enumeration date
07/23/2021
Last updated
07/23/2021
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