Provider Demographics
NPI:1730142167
Name:SCHNORBUS, JOSEPH ANTHONY (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:SCHNORBUS
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 1:109 COOSA STREET EAST
Mailing Address - Street 2:SUITE A
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-2546
Mailing Address - Country:US
Mailing Address - Phone:256-362-4872
Mailing Address - Fax:
Practice Address - Street 1:109 COOSA STREET EAST
Practice Address - Street 2:SUITE A
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2546
Practice Address - Country:US
Practice Address - Phone:256-362-4872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-833-TA-381152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529801330Medicaid
AK51039940OtherBCBS OF ALABAMA
ALU62955Medicare UPIN
AL529801330Medicaid