Kyle Daniel Snyder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010620 Issued in IL

Practice address

22401 Central Ave
Richton Park, IL 60471-2062

Phone

(708) 898-9994

NPI assigned

Sep 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ovitsky Vision Care of Indiana PCGroup PAC ID 3779830278, 3 clinicians

Charles S Ovitsky PCGroup PAC ID 7012175102, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles S Ovitsky PC

  • Optometrist
  • Chicago, IL
  • NPI 1568647220
  Medicare reassignment Care Compare group NPD
• Ovitsky Vision Care of Indiana PC

  • Optometrist
  • Indianapolis, IN
  • NPI 1831694330
  Medicare reassignment Care Compare group NPD
• Dr. Jorge a. Benavente Optometrist PC

  • Optometrist
  • Munster, IN
  • NPI 1063740744

  IL

  Medicare reassignment NPD
• Snyder Eye Care, P.C.

  • Optometrist
  • Richton Park, IL
  • NPI 1891356077
  NPD (past) Authorized official

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1073863965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 LINCOLNSHIRE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401921",
            "telephone_number": "708-265-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 CENTRAL AVE",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712062",
            "telephone_number": "708-898-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 167th St",
            "address_purpose": "LOCATION",
            "city": "Country Club Hills",
            "state": "IL",
            "postal_code": "604782071",
            "country_code": "US",
            "telephone_number": "708-647-1689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KYLE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niya Smith-Wilson
• Michael J Smith, DPM
• Monica Yvette Smith, APN
• Robert B Smith, D.D.S.
• Snyder Eye Care, P.C.
• Sought After Care Centers NFP
• Soul Werk Cafe PLLC
• Southland College Prep Charter School Inc (Southland College Prep)
• Speak Hue (Speak Hue PLLC)
• Starr Care Home Healthcare LLC

• Optometrist in Richton Park, IL
• Providers in Richton Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.