Provider Demographics
NPI:1083731715
Name:SNIDER, SHARON LEMLEY (OD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LEMLEY
Last Name:SNIDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 MEADOW LAKE DR
Mailing Address - Street 2:SUITE 121
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5423
Mailing Address - Country:US
Mailing Address - Phone:205-408-4414
Mailing Address - Fax:
Practice Address - Street 1:4000 MEADOW LAKE DR
Practice Address - Street 2:SUITE 121
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5423
Practice Address - Country:US
Practice Address - Phone:205-408-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS528TA214152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy