Provider Demographics
NPI:1396987525
Name:SCHNEEMAN, DARYLL (OP)
Entity type:Individual
Prefix:
First Name:DARYLL
Middle Name:
Last Name:SCHNEEMAN
Suffix:
Gender:M
Credentials:OP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 ROCKVILLE PIKE
Mailing Address - Street 2:STE. 100
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-986-1010
Mailing Address - Fax:301-977-1939
Practice Address - Street 1:11140 ROCKVILLE PIKE
Practice Address - Street 2:STE. 100
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:301-986-1010
Practice Address - Fax:301-977-1939
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician