Active NPI
Thomas Dale Snoeyink, OD
- Optometrist
- Hudsonville, MI
National Provider Identifier
1306902432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002873
- Practice address
- 3164 Port Sheldon St
Hudsonville, MI 49426-9317 - Phone
- (616) 669-1890
- Fax
- (616) 669-8457
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002873 | MI | Primary |
Addresses
Primary practice location
3164 Port Sheldon St
Hudsonville, MI 49426-9317
Mailing address
3164 Port Sheldon St
Hudsonville, MI 49426-9317
Phone (616) 669-1890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0373700001 | Other | MI | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1306902432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3164 PORT SHELDON ST",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494269317",
"telephone_number": "616-669-1890",
"fax_number": "616-669-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3164 PORT SHELDON ST",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494269317",
"telephone_number": "616-669-1890",
"fax_number": "616-669-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOEYINK",
"first_name": "THOMAS",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0373700001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudsonville, MI
- Sheldon Meadows Assisted Living Center
- Cameron Daniel Shoemaker, DDS
- Shoreline Orthopaedic & Sports Medicine Clinic P L C
- Megan Sievers
- Diana Lynn Simpson, LPC
- Abigail Diandra Sok
- Areum Son
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.