Duane Snyder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004475-1 Issued in NY

Practice address

500 Davison Rd
Lockport, NY 14094-4021

Phone

(716) 434-8063

Fax

(716) 434-2845

NPI assigned

Aug 12, 2005

Last updated

Apr 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davison Road Optical IncGroup PAC ID 4284615857, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: duane.snyder@direct.revolutionehr.com

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.

• Davison Road Optical, Inc.

  • Optometrist
  • Lockport, NY
  • NPI 1326161035
  Medicare reassignment Care Compare group NPD
• Davison Road Optical, Inc.

  dba Newfane Family Eyecare

  • Optometrist
  • Newfane, NY
  • NPI 1508989211
  NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1346242955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944021",
            "telephone_number": "716-434-8063",
            "fax_number": "716-434-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944021",
            "telephone_number": "716-434-8063",
            "fax_number": "716-434-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004475-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-006323-P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Slavin
• Courtney Anne Smith, CCC-SLP
• Lisa Gebauer Smith, RD,CDN
• Paul Fredrick Smith
• McQuaid Smyth, PHARMD
• Heather May Sodaro, PHARM. D.
• Christopher Somsook, DO
• South Lockport Fire Company, Inc.
• South Street Health Services Family Health and Psychiatry NPS PLLC
• Christopher Charles Sova, PHD

• Optometrist in Lockport, NY
• Providers in Lockport, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.