Provider Demographics
NPI:1922453638
Name:SCHNEPPE-HERSHNER, SHIRLEY J (OD)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:J
Last Name:SCHNEPPE-HERSHNER
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 1:862 MOSS CANYON DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-2544
Mailing Address - Country:US
Mailing Address - Phone:400-988-7222
Mailing Address - Fax:
Practice Address - Street 1:862 MOSS CANYON DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-2544
Practice Address - Country:US
Practice Address - Phone:400-988-7222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-01
Last Update Date:2016-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4048152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist