Provider Demographics
NPI:1144387721
Name:SCHNEIDER, LLOYD (OD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 SW 57TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5302
Mailing Address - Country:US
Mailing Address - Phone:305-662-9300
Mailing Address - Fax:
Practice Address - Street 1:7450 SW 57TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5302
Practice Address - Country:US
Practice Address - Phone:305-662-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOP0001304152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19957Medicare ID - Type Unspecified
FLU21901Medicare UPIN