Provider Demographics
NPI:1821054149
Name:SCHNEIDER, ERIC PETER (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:PETER
Last Name:SCHNEIDER
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 1:129 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2917
Mailing Address - Country:US
Mailing Address - Phone:610-269-6088
Mailing Address - Fax:610-269-8557
Practice Address - Street 1:129 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2917
Practice Address - Country:US
Practice Address - Phone:610-269-6088
Practice Address - Fax:610-269-8557
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE5296T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist