1699754077 NPI number — SNYDER& SNYDER& SCHARF-SNYDER PTR

Table of content: (NPI 1699754077)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699754077 NPI number — SNYDER& SNYDER& SCHARF-SNYDER PTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SNYDER& SNYDER& SCHARF-SNYDER PTR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SNYDER EYE GROUP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699754077
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1808 LONG BEACH BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHIP BOTTOM
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08008-4443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-494-6868
Provider Business Mailing Address Fax Number:
609-494-0990

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1808 LONG BEACH BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIP BOTTOM
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08008-4443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-494-6868
Provider Business Practice Location Address Fax Number:
609-494-0990
Provider Enumeration Date:
01/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SNYDER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
609-494-6868

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 410016451 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 39145 . This is a "DAVIS VISION" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P830163 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0478899000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1K2135 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: F09921 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 311060 . This is a "BENEVISION" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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