Provider Demographics
NPI:1952663536
Name:SCHNEIDER, FAITH ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:ANN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MISS
Other - First Name:FAITH
Other - Middle Name:ANN
Other - Last Name:MASCHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 N SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:OGALLALA
Mailing Address - State:NE
Mailing Address - Zip Code:69153-2552
Mailing Address - Country:US
Mailing Address - Phone:308-284-4394
Mailing Address - Fax:
Practice Address - Street 1:7800 NATURAL BRIDGE RD
Practice Address - Street 2:1 UNIVERSITY BLVD
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-4617
Practice Address - Country:US
Practice Address - Phone:314-516-5131
Practice Address - Fax:314-516-5507
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012017717152W00000X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics