Individual provider Active NPI

Scott Lee Snowberger, O.D.

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1215023080
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6417T Issued in TX
Practice address
2051 Gattis School Rd
Suite 160
Round Rock, TX 78664
Phone
(512) 388-2444
Fax
(512) 388-0043
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6417T TX Primary

Addresses

Primary practice location

2051 Gattis School Rd
Suite 160
Round Rock, TX 78664

Mailing address

2051 Gattis School Rd
Suite 160
Round Rock, TX 78664
Phone (512) 388-2444

Other identifiers 1

IdentifierTypeStateIssuer
81143QOtherTXBLUE CROSS / BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040402001086 TX Practitioner - Optometry 8527050970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Number 3 Properties, LLCGroup PAC ID 9335516210, 2 clinicians

Practice addresses (Care Compare)

1512 Town Ctr Dr
Suite 500
Pflugerville, TX 78660-7683
Phone (512) 251-3700

19368 Ronald W Reagan Blvd
Suite 130
Georgetown, TX 78628-3100
Phone (512) 764-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6417TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Number 3 Properties, LLC Optometrist CurrentSince Jul 2, 2019 Accepting new patients
Dr Brinegar and Associates Optometrist Past Accepting new patients
Dan E McQueen, O.D., P.C. Optometrist Past Accepting new patients
Aeg Texas Professional PLLC Optometrist Past Accepting new patients

Locations

19368 Ronald W Reagan Blvd
Ste 130
Georgetown, TX 78628
Phone (512) 660-7525

Organizations & group practices 5

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1215023080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 GATTIS SCHOOL RD",
            "address_2": "SUITE 160",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-388-2444",
            "fax_number": "512-388-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 GATTIS SCHOOL RD",
            "address_2": "SUITE 160",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-388-2444",
            "fax_number": "512-388-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWBERGER",
        "first_name": "SCOTT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6417T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "81143Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.