Provider Demographics
NPI:1285523076
Name:SNELLER, HUNTER KENT
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:KENT
Last Name:SNELLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8552 COUNTY ROAD EE.5
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:CO
Mailing Address - Zip Code:81052-9734
Mailing Address - Country:US
Mailing Address - Phone:719-691-1293
Mailing Address - Fax:
Practice Address - Street 1:7415 FIREHOUSE VW
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-7283
Practice Address - Country:US
Practice Address - Phone:719-886-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0004132152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COOPT.0004132OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES: STATE BOARD OF OPTOMETRY