Individual provider Active NPI

Samantha Snodgrass, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1366333460
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2238 Issued in KS
Practice address
8651 W 135TH St
Overland Park, KS 66223-1215
Phone
(913) 681-2624
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2238 KS Primary

Addresses

Primary practice location

8651 W 135TH St
Overland Park, KS 66223-1215

Mailing address

8651 W 135TH St
Overland Park, KS 66223-1215

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250926002813 KS Practitioner - Optometry 1557866712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Vision of Overland Park LLCGroup PAC ID 8527377126, 4 clinicians

Practice addresses (Care Compare)

8007 W 151St St
Suite 102
Overland Park, KS 66223-2115
Phone (913) 681-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2238KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center of Shawnee LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Blue Valley Vision of Overland Park LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

8651 W 135th St
Overland Park, KS 66223
Phone (913) 681-2624

8007 W 151st St
Overland Park, KS 66223
Phone (785) 554-8582

8007 W 151st St
Ste 102
Overland Park, KS 66223
Phone (816) 942-3718

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1366333460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8651 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231215",
            "telephone_number": "913-681-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.