Organization Active NPI

Snyder Optometry, Inc.

  • Optometrist
  • Alhambra, CA
National Provider Identifier
1275848954
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5208TPA Issued in CA
Legal business name
SNYDER OPTOMETRY, INC.
Practice address
22 S Chapel Ave
Alhambra, CA 91801-3948
Phone
(626) 282-8493
Fax
(626) 282-1910
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Dr. David L Snyder, O.D.NPI 1770540650
Title
Owner
Phone
(626) 282-8493

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT5208TPA CA Primary

Addresses

Primary practice location

22 S Chapel Ave
Alhambra, CA 91801-3948

Mailing address

22 S Chapel Ave
Alhambra, CA 91801-3948
Phone (626) 282-8493

Other identifiers 1

IdentifierTypeStateIssuer
DS5005281MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830000803 CA Part B Supplier - Clinic/Group Practice 1951425875 Receives reassigned benefits from 2 practitioners
Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory

Locations

22 S Chapel Ave
Alhambra, CA 91801
Phone (626) 282-8493

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1275848954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S CHAPEL AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013948",
            "telephone_number": "626-282-8493",
            "fax_number": "626-282-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S CHAPEL AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013948",
            "telephone_number": "626-282-8493",
            "fax_number": "626-282-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-282-8493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5208TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DS5005281",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.