Provider Demographics
NPI:1437220480
Name:SNEED, DEBORAH K (O D)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:K
Last Name:SNEED
Suffix:
Gender:F
Credentials:O D
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:K
Other - Last Name:MCCLURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:O D
Mailing Address - Street 1:PO BOX 1789
Mailing Address - Street 2:
Mailing Address - City:WHITE SALMON
Mailing Address - State:WA
Mailing Address - Zip Code:98672-1789
Mailing Address - Country:US
Mailing Address - Phone:509-493-2020
Mailing Address - Fax:509-493-2023
Practice Address - Street 1:950 E JEWETT BLVD.
Practice Address - Street 2:
Practice Address - City:WHITE SALMON
Practice Address - State:WA
Practice Address - Zip Code:98672-1789
Practice Address - Country:US
Practice Address - Phone:509-493-2020
Practice Address - Fax:509-493-2023
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003213152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2022317Medicaid
WA2022317Medicaid
WAG115135001Medicare PIN