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Dr. Scott David Schneid, O.D.

Optometrist in Sparta, IL. Individual provider (NPI-1).

NPI number1174636088
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1174636088
Entity type
Individual (NPI-1)
Name
Dr. Scott David Schneid
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 16, 2006
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist046-008810ILYes

Practice location

1410 N Market St
Sparta, IL 62286-2302

Phone 618-443-4373 · Fax 618-443-2682

Mailing address

100 S James St
Sparta, IL 62286-1258

Phone 618-443-6330 · Fax 618-443-2682

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