Provider Demographics
NPI:1043377021
Name:SCHNEID, STEVEN LEE (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEE
Last Name:SCHNEID
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10930 BELLS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2790
Mailing Address - Country:US
Mailing Address - Phone:301-254-3475
Mailing Address - Fax:301-299-2500
Practice Address - Street 1:6919 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4420
Practice Address - Country:US
Practice Address - Phone:301-270-2020
Practice Address - Fax:301-270-5200
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA 1017152W00000X
DCOP 604152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD899740300Medicaid
DC696745Medicare ID - Type UnspecifiedMEDICARE
MD899740300Medicaid
MDU24217Medicare UPIN
MD696745Medicare ID - Type UnspecifiedMEDICARE ID