Individual provider Active NPI

Lynn Hicks-Snoddy, MD

  • Ophthalmology Physician
  • Columbia, SC
National Provider Identifier
1285697680
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11856 Issued in SC
Practice address
100 Summit Centre Dr
Columbia, SC 29229
Phone
(803) 252-8566
Fax
(803) 256-8881
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 11856 SC Primary

Addresses

Primary practice location

100 Summit Centre Dr
Columbia, SC 29229

Mailing address

PO Box 60371
Charlotte, NC 28260-0371
Phone (803) 252-8566

Other identifiers 1

IdentifierTypeStateIssuer
118562MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100708000318 SC Practitioner - Ophthalmology 8921139965 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11856SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Clinic PA Ophthalmology CurrentSince Oct 26, 1994 Accepting new patients
University Specialty Clinics - Ophthalmology Ophthalmology Past Accepting new patients

Locations

100 Summit Centre Dr
Columbia, SC 29229
Phone (803) 252-8566

1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732

100 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 806-0075

Interoperability endpoints

  • Direct secure messaging: lynn.hickssnoddy.p1@direct.columbiaeyeclinic.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1285697680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60371",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600371",
            "telephone_number": "803-252-8566",
            "fax_number": "803-256-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUMMIT CENTRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-252-8566",
            "fax_number": "803-256-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-SNODDY",
        "first_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "11856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118562",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.