Provider Demographics
NPI:1730054586
Name:SCHNOEBELEN, JOY COLLEEN (OD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:COLLEEN
Last Name:SCHNOEBELEN
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 1:2655 WHEATON WAY
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3318
Mailing Address - Country:US
Mailing Address - Phone:360-377-3703
Mailing Address - Fax:360-479-0104
Practice Address - Street 1:2655 WHEATON WAY
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3318
Practice Address - Country:US
Practice Address - Phone:360-377-3703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD70017825152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist