Individual provider Active NPI

Patrick William Snyder, LICENSED OPTICIAN

  • Optician
  • Orchard Park, NY
National Provider Identifier
1033821574
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
01009-1 Issued in NY
Practice address
200 Sterling Dr Ste 400
Orchard Park, NY 14127-1577
Phone
(716) 902-2600
Fax
(716) 671-2024
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 01009-1 NY Primary

Addresses

Primary practice location

200 Sterling Dr Ste 400
Orchard Park, NY 14127-1577

Mailing address

200 Sterling Dr Ste 400
Orchard Park, NY 14127-1577
Phone (716) 902-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01009-1NYMDOptician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1033821574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STERLING DR STE 400",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271577",
            "telephone_number": "716-902-2600",
            "fax_number": "716-671-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STERLING DR STE 400",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271577",
            "telephone_number": "716-902-2600",
            "fax_number": "716-671-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "01009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.