Organization Active NPI

John C Snyder OD LLC

  • Optometrist
  • Cumming, GA
National Provider Identifier
1174950042
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001031 Issued in GA
Legal business name
JOHN C SNYDER OD LLC
Practice address
3390 Summit TRL
Cumming, GA 30041-6692
Phone
(404) 401-6699
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
John C Snyder, OD
Title
Owner
Phone
(404) 401-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT001031 GA Primary

Addresses

Primary practice location

3390 Summit TRL
Cumming, GA 30041-6692

Mailing address

3390 Summit TRL
Cumming, GA 30041-6692
Phone (404) 401-6699

National Provider Directory

National Provider Directory

Locations

2001 S Lee St
Americus, GA 31709
Phone (229) 924-9352

102 Hospital Dr
Chatsworth, GA 30705
Phone (706) 695-8313

2040 Warm Springs Rd
Columbus, GA 31904
Phone (706) 304-8913

3010 Warm Springs Rd
Columbus, GA 31909
Phone (706) 324-0387

420 Myrtle Dr
Roberta, GA 31078
Phone (478) 836-3101

210 Main St
Toomsboro, GA 31090
Phone (478) 933-5395

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1174950042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 SUMMIT TRL",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416692",
            "telephone_number": "404-401-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 SUMMIT TRL",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416692",
            "telephone_number": "404-401-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C SNYDER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-401-6699",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.