Provider Demographics
NPI:1881626588
Name:SNYDER, HARRY NEIL (OD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:NEIL
Last Name:SNYDER
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 1:7263E ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3219
Mailing Address - Country:US
Mailing Address - Phone:703-573-1200
Mailing Address - Fax:703-573-1250
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:2006-07-06
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000520152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4092079OtherAETNA - PPO
VA9314-0002OtherBCBS
VA988658OtherAETNA HMO
VA410032942OtherMEDICARE RAILROAD
VA317102OtherANTHEM - RESTON
VA9203559Medicaid
VA226157OtherMAMSI/ALLIANCE
VA317103OtherANTHEM - LP
VA9203559Medicaid
409271N11Medicare ID - Type UnspecifiedMEDICARE
VA226157OtherMAMSI/ALLIANCE