Provider Demographics
NPI:1780385252
Name:SNYDER, SASHA MARIE (ABOC, LDO)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:MARIE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:ABOC, LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 AIRPORT HWY
Mailing Address - Street 2:
Mailing Address - City:WAUSEON
Mailing Address - State:OH
Mailing Address - Zip Code:43567-8709
Mailing Address - Country:US
Mailing Address - Phone:419-337-0300
Mailing Address - Fax:419-337-0303
Practice Address - Street 1:485 AIRPORT HWY
Practice Address - Street 2:
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567-8709
Practice Address - Country:US
Practice Address - Phone:419-337-0300
Practice Address - Fax:419-337-0303
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.017588-S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician