Individual provider Active NPI

Blane Eldon Snodgrass, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1104816289
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1141 Issued in OK
Practice address
7171 S Yale Ave
Suite 101
Tulsa, OK 74136-6367
Phone
(918) 492-2702
Fax
(918) 492-2256
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1141 OK Primary

Addresses

Primary practice location

7171 S Yale Ave
Suite 101
Tulsa, OK 74136-6367

Mailing address

7171 S Yale Ave
Suite 101
Tulsa, OK 74136-6367
Phone (918) 492-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20051229000713 OK Practitioner - Optometry 3870513765 Reassigns benefits to 1 organization
Practice locations: Tulsa, OK

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bigheart Morgans PLLCGroup PAC ID 3476792656, 5 clinicians

Practice addresses (Care Compare)

7408 S Yale Ave
Tulsa, OK 74136-7029
Phone (918) 794-6700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1141OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reinstein Eye Associates PastSince Feb 15, 1996 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1104816289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 S YALE AVE",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366367",
            "telephone_number": "918-492-2702",
            "fax_number": "918-492-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 S YALE AVE",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366367",
            "telephone_number": "918-492-2702",
            "fax_number": "918-492-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "BLANE",
        "middle_name": "ELDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.