Active NPI
Mark a Snyder OD LLC
- Optometrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MARK A SNYDER OD LLC
- Practice address
- 1035 N Post Rd
Indianapolis, IN 46219-4234 - Phone
- (317) 449-2122
- Fax
- (317) 449-2123
- NPI assigned
- Dec 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark A Snyder, OD
- Title
- Owner
- Phone
- (317) 449-2122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1035 N Post Rd
Indianapolis, IN 46219-4234
Mailing address
1035 N Post Rd
Indianapolis, IN 46219-4234
Phone (317) 449-2122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300009910 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2141613 | Mark a Snyder, OD, LLC D/B/a Infinity Eye Care | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
1035 N Post Rd
Ste B
Indianapolis, IN 46219
Phone (317) 449-2122
1035 N Post Rd
Indianapolis, IN 46219
Phone (317) 449-2122
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Indianapolis, IN
- NPI 1811949530
-
- Optometrist
- Indianapolis, IN
- NPI 1831178219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1184139594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 N POST RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194234",
"telephone_number": "317-449-2122",
"fax_number": "317-449-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 N POST RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194234",
"telephone_number": "317-449-2122",
"fax_number": "317-449-2123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A SNYDER OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-07",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-449-2122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300009910",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.