Provider Demographics
NPI:1609669928
Name:SCHNEIDER, AMANDA SUE (ABOC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:SUE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1607
Mailing Address - Country:US
Mailing Address - Phone:940-689-9771
Mailing Address - Fax:940-689-9781
Practice Address - Street 1:3130 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1607
Practice Address - Country:US
Practice Address - Phone:940-689-9771
Practice Address - Fax:940-689-9781
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician