Provider Demographics
NPI:1831178219
Name:SNYDER, KARINA A
Entity type:Individual
Prefix:DR
First Name:KARINA
Middle Name:A
Last Name:SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 N POST RD
Mailing Address - Street 2:STE B
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4245
Mailing Address - Country:US
Mailing Address - Phone:317-449-2122
Mailing Address - Fax:
Practice Address - Street 1:901 E 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1807
Practice Address - Country:US
Practice Address - Phone:317-844-5500
Practice Address - Fax:317-208-2248
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003341A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000786844OtherANTHEM
IN000000786842OtherANTHEM
IN200526600AMedicaid
IN200526600AMedicaid
IN266610001Medicare PIN