Provider Demographics
NPI:1356301394
Name:SNYDER, RONALD P (OD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:P
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 1:21126 SAINT ANDREWS BLVD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2404
Mailing Address - Country:US
Mailing Address - Phone:561-347-7977
Mailing Address - Fax:561-347-7311
Practice Address - Street 1:21126 SAINT ANDREWS BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2404
Practice Address - Country:US
Practice Address - Phone:561-347-7977
Practice Address - Fax:561-347-7311
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC901152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19741ZMedicare ID - Type Unspecified
FLT83905Medicare UPIN