Kim Snodgrass, OPTICIAN

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

24974A-SC Issued in OH

Practice address

60 N. Miller Rd. Ste a
Fairlawn, OH 44333-3702

Phone

(330) 836-2945

NPI assigned

Jul 9, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Snodgrass Eye Care

  • Non-Pharmacy Dispensing Site
  • Fairlawn, OH
  • NPI 1184838609
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1164269098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N. MILLER RD. STE",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N. MILLER RD. STE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "KIM",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OH",
            "license": "24974A-SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Elizabeth Smola, BSN, MSN FNP-BC APRN
• Tina E Smrekar, QMHS BA CMS BA
• Tanisha Tiara Sneed, LPN
• Barbara R Snider, PRS
• Snodgrass Eye Care
• Alexis Solet, OTR/L
• Solomon Isakov, DMD, LLC
• Brooke Haley Somerville
• Bridgid Sommerville
• Brittney Sommerville

• Non-Pharmacy Dispensing Site in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Non-Pharmacy Dispensing Site in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.