Individual provider Active NPI

Russell William Snook, MD

  • Ophthalmology Physician
  • Lewisville, TX
National Provider Identifier
1225046238
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K9176 Issued in TX
Practice address
1850 Lakepointe Drive
Ste 200
Lewisville, TX 75057-6443
Phone
(972) 436-5040
Fax
(972) 221-0249
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K9176 TX Primary

Addresses

Primary practice location

1850 Lakepointe Drive
Ste 200
Lewisville, TX 75057-6443

Mailing address

1850 Lakepointe Drive
Ste 200
Lewisville, TX 75057-6443
Phone (972) 436-5040

Other identifiers 1

IdentifierTypeStateIssuer
106126902MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229001153 TX Practitioner - Ophthalmology 9739377144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WSK Eye Associates PAGroup PAC ID 7810890811, 5 clinicians

Practice addresses (Care Compare)

1850 Lakepointe Dr
Suite 200
Lewisville, TX 75057-6443
Phone (972) 436-5040

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery313
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K9176TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WSK Eye Associates PA Ophthalmology CurrentSince Feb 8, 2000 Accepting new patients
Eye Surgery Center of North Dallas PastSince Jan 1, 2023 Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

2817 S Mayhill Rd
Ste 110
Denton, TX 76208
Phone (940) 898-1512

2560 Central Park Ave
Ste 300
Flower Mound, TX 75028
Phone (972) 355-0194

1850 Lakepointe Dr
Ste 200
Lewisville, TX 75057
Phone (972) 436-5040

Interoperability endpoints

  • Direct secure messaging: rsnook@ndea.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1225046238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAKEPOINTE DRIVE",
            "address_2": "STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576443",
            "telephone_number": "972-436-5040",
            "fax_number": "972-221-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LAKEPOINTE DRIVE",
            "address_2": "STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576443",
            "telephone_number": "972-436-5040",
            "fax_number": "972-221-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "RUSSELL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K9176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106126902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.