Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM SNODGRASS, OPTICIAN
Active Sole ProprietorKIM SNODGRASS, OPTICIAN is a Non-Pharmacy Dispensing Site healthcare provider located in FAIRLAWN, Ohio. NPI 1164269098 is currently active in the NPPES registry. Verify at CMS.
Non-Pharmacy Dispensing Site · FAIRLAWN, OH
Registration Details
- NPI Number
- 1164269098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2024 (2.066332862598 yrs)
- Last Updated
- Jul 9, 2024
- License
-
24974A-SC (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 N. MILLER RD. STE AFAIRLAWN, OH, 443333702Browse OH providers · Browse ZIP 44333
- Phone
- 3308362945
- Primary Specialty
-
Non-Pharmacy Dispensing Site
332900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.