Provider Demographics
NPI:1336392208
Name:SCHNEIDER, CARMEN J (OD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:J
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7664 W LAKE MEAD BLVD
Mailing Address - Street 2:107
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-6645
Mailing Address - Country:US
Mailing Address - Phone:702-254-6222
Mailing Address - Fax:702-341-9541
Practice Address - Street 1:7664 W LAKE MEAD BLVD
Practice Address - Street 2:107
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6645
Practice Address - Country:US
Practice Address - Phone:702-254-6222
Practice Address - Fax:702-341-9541
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV623152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist