Provider Demographics
NPI:1831380708
Name:SCHNEIDER, MEREDITH MINCEY (OD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:MINCEY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2603
Mailing Address - Country:US
Mailing Address - Phone:806-744-8484
Mailing Address - Fax:806-762-0325
Practice Address - Street 1:2134 50TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2603
Practice Address - Country:US
Practice Address - Phone:806-744-8484
Practice Address - Fax:806-762-0325
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7125TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82096QOtherBLUE CROSS BLUE SHIELD
TXP00674224OtherMEDICARE RAILROAD
TXP00674224OtherMEDICARE RAILROAD