Kunkel-Snyder Optometric, P.C

Primary specialty

OptometristTaxonomy code 152W00000X

License

643 Issued in SD

Legal business name

KUNKEL-SNYDER OPTOMETRIC, P.C

Practice address

1225 4TH St NE
Watertown, SD 57201-1204

Phone

(605) 882-4175

Fax

(605) 882-2962

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew C Kunkel, O.DNPI 1538369665

Title

President

Phone

(605) 882-4175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• Matthew Charles Kunkel, O.D.

  • Optometrist
  • Watertown, SD
  • NPI 1538369665
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel L Austvold, OD

  • Optometrist
  • Watertown, SD
  • NPI 1992543979
  Medicare reassignment Care Compare group NPD
• Beth Ann Kunkel, O.D.

  • Optometrist
  • Watertown, SD
  • NPI 1053511188
  Medicare reassignment Care Compare group NPD
• Wayne Earle Snyder, M.D.

  • Ophthalmology Physician
  • Watertown, SD
  • NPI 1053474254
  NPD

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1376733949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 4TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011204",
            "telephone_number": "605-882-4175",
            "fax_number": "605-882-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 4TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011204",
            "telephone_number": "605-882-4175",
            "fax_number": "605-882-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNKEL-SNYDER OPTOMETRIC, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "KUNKEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-882-4175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard H Korf, LCSW-PIP
• Jordan Krantz
• Samantha Kay Kratovil, RD
• Shannon Kraus, RPH
• Sara Kruse, MSN, APRN, FNP-C
• Beth Ann Kunkel, O.D.
• Matthew Charles Kunkel, O.D.
• Roy Lagat
• Jacalynn L Lake, PT
• Lakeside Pain Center Prof. LLC

• Optometrist in Watertown, SD
• Providers in Watertown, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.