Provider Demographics
NPI:1881608230
Name:SNIVELY, HOPE (OD)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:
Last Name:SNIVELY
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 1:11656 PLAZA AMERICA DR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-4700
Mailing Address - Country:US
Mailing Address - Phone:703-467-0359
Mailing Address - Fax:703-467-9080
Practice Address - Street 1:7263E ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3219
Practice Address - Country:US
Practice Address - Phone:703-573-1200
Practice Address - Fax:703-573-1250
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000519152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009231684Medicaid
VA226154OtherMAMSI,MDIPA,ALLIANCE
VA4092077OtherAETNA PPO
VA068408OtherANTHEM BCBS / FALLS CHURC
VA257953OtherANTHEM BCBS / RESTON
VA9314-0003OtherBCBS/CAREFIRST
VA988645OtherAETNA HMO
VA257953OtherANTHEM BCBS / RESTON
VA068408OtherANTHEM BCBS / FALLS CHURC