Provider Demographics
NPI:1003016304
Name:SNYDER, JOHN MARK (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARK
Last Name:SNYDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1945 QUEENSWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4254
Mailing Address - Country:US
Mailing Address - Phone:717-846-6900
Mailing Address - Fax:717-854-9728
Practice Address - Street 1:1945 QUEENSWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4254
Practice Address - Country:US
Practice Address - Phone:717-846-6900
Practice Address - Fax:717-854-9728
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001953152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist