Individual provider Active NPI

Paul Brian Snowden, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1235121872
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2472 Issued in OK
Practice address
7200 S Penn Ave
Suite D
Oklahoma City, OK 73159-3336
Phone
(405) 682-8991
Fax
(405) 682-8030
NPI assigned
Aug 19, 2005
Last updated
Jul 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2472 OK Primary

Addresses

Primary practice location

7200 S Penn Ave
Suite D
Oklahoma City, OK 73159-3336

Mailing address

7200 S Penn Ave
Suite D
Oklahoma City, OK 73159-3336
Phone (405) 682-8991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051215000747 OK Practitioner - Optometry 6800828138 Practice locations: Oklahoma City, OK
I20250313003736 TX Practitioner - Optometry 6800828138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizen Potawatomi NationGroup PAC ID 3375511488, 35 clinicians

Practice addresses (Care Compare)

781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone (405) 964-4025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2472OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Potawatomi Nation CurrentSince Feb 3, 2025 Accepting new patients
Citizen Potawatomi Nation CurrentSince Feb 3, 2025 Accepting new patients

Locations

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

Organizations & group practices 4

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1235121872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S PENN AVE",
            "address_2": "SUITE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593336",
            "telephone_number": "405-682-8991",
            "fax_number": "405-682-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S PENN AVE",
            "address_2": "SUITE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593336",
            "telephone_number": "405-682-8991",
            "fax_number": "405-682-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "PAUL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.