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Contact Information

RONALD L SNYDER, OD
17615 STATE RD 23
SOUTH BEND, IN46635
 Phone: 574-234-7600
 Fax: 574-234-8408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RONALD L SNYDER · (Male)

NPI Number 1740258441
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/09/2006
Last updated 12/13/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 18001393
  • IN Medicaid 200411330
  • IN Other 000000092862 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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