Mark J Schneider, OD
Individual provider Active NPI Optometrist · Colonie, NY
NPI 1720166739 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720166739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 6188 (NY)
- Practice address
- 1545 Central Ave
Colonie, NY 12205 - Phone
- (518) 452-1111
- Fax
- (518) 452-1093
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6188 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients | |
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6188 | NY | Yes |
Addresses
Primary practice location
1545 Central Ave
Colonie, NY 12205
Mailing address
1545 Central Ave
Colonie, NY 12205
Phone (518) 452-1111
Other providers in Colonie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.