Sneha Bagavandoss, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

2019024861 Issued in MO

Practice address

507 S Lincoln Ave
Union, MO 63084-2121

Phone

(636) 583-3322

Fax

(636) 583-8328

NPI assigned

Jul 17, 2018

Last updated

May 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Kent B Hill Optometrist PCGroup PAC ID 8921150699, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Dr Kent B Hill Optometrist PC

  dba Union Eye Associates

  • Optometrist
  • Union, MO
  • NPI 1346422979
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1104302660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S LINCOLN AVE",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630842121",
            "telephone_number": "636-583-3322",
            "fax_number": "636-583-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S LINCOLN AVE",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630842121",
            "telephone_number": "636-583-3322",
            "fax_number": "636-583-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Kuser Road",
            "address_purpose": "LOCATION",
            "city": "Hamilton Square",
            "state": "NJ",
            "postal_code": "08690",
            "country_code": "US",
            "telephone_number": "609-581-5755",
            "fax_number": "609-581-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGAVANDOSS",
        "first_name": "SNEHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00681400",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MO",
            "license": "2019024861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Diane Archeski, P. T.
• Amy Lynn Armstrong
• Aspire Internal Medicine, L.L.C.
• Axes Physical Therapy I, LLC
• Axes Physical Therapy, LLC (Axes Physical Therapy)
• Sarah Lindsay Ballenger, LMSW
• Julie M Ballmann, PHARMD
• Julianne K Baltimore, PLPC
• Tanis Bast
• Stephanie Diane Bauerle, D.O.

• Vision Therapy Optometrist in Union, MO
• Providers in Union, MO by specialty
• Vision Therapy Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.