Provider Demographics
NPI:1326174400
Name:SNYDER, JOHN CHRISTY (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHRISTY
Last Name:SNYDER
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 1:135N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-2110
Mailing Address - Country:US
Mailing Address - Phone:678-425-9415
Mailing Address - Fax:678-425-9417
Practice Address - Street 1:135 N BROAD ST
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2110
Practice Address - Country:US
Practice Address - Phone:678-425-9415
Practice Address - Fax:678-425-9417
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0001031152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management