Most Relevant Information
Provider Data
| NPI Number: | 1003835778 |
| Provider Name: | TODD M SCHNEIDER OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 1413 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 08/11/2010 |
Provider Practice Location
705 S UNIVERSITY AVE
SUITE 100
BEAVER DAM
WI
539163053
Practice Location Phone/Fax
| Phone: | 9208871151 |
| Fax: | 9208873353 |
Provider Mailing Location
705 S UNIVERSITY AVE
SUITE 100
BEAVER DAM
WI
539163053
Provider Mailing Phone/Fax
| Phone: | 9208871151 |
| Fax: | 9208873353 |