Individual provider Active NPI

Michaele Dories Snyder, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1417520644
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6421 Issued in FL
Practice address
13904 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2446
Phone
(813) 908-2020
Fax
(813) 908-2133
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003345 GA
Optometrist 152W00000X OPC6421 FL Primary
Optometrist 152W00000X R-323-TA-C68 AL

Addresses

Primary practice location

13904 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2446

Mailing address

13904 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2446
Phone (813) 908-2020

Other practice location 1

1406 McFarland Blvd N
Tuscaloosa, AL 35406-2293
Phone (205) 752-5551

Other practice location 2

535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715
Phone (205) 556-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913003148 AL Practitioner - Optometry 2769877422 Reassigns benefits to 1 organization
I20240620001338 FL Practitioner - Optometry 2769877422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newsom Eye and Laser Center IncGroup PAC ID 0648241190, 16 clinicians

Practice addresses (Care Compare)

14543 Cortez Blvd
Brooksville, FL 34613-6065
Phone (352) 596-4030

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as group
Quality
99.98
Improvement activities
40
Cost
75.2

Merit-based Incentive Payment System (MIPS)

Final score
85.51 of 100Reported as group
Quality
96.39
Improvement activities
40
Cost
53.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6421FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Ophthalmology, Inc. Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Newsom Eye & Laser Center Inc Optometrist CurrentSince Jul 8, 2024 Accepting new patients
Newsom Eye & Laser Center, Inc. Optometrist CurrentSince Jul 8, 2024 Accepting new patients
Newsom Eye & Laser Center, Inc. Optometrist Past Accepting new patients
Newsom Eye & Laser Center, Inc. Optometrist Past Accepting new patients
Newsom Eye & Laser Center, Inc. Optometrist Past Accepting new patients

Locations

535 Jack Warner Pkwy NE
Ste B1
Tuscaloosa, AL 35404
Phone (205) 556-2121

14543 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-4030

4211 US 27 N
Sebring, FL 33870
Phone (863) 385-1544

13904 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 908-2020

Interoperability endpoints

  • Direct secure messaging: msnyder@newsomeyelaser.intellechartdirect.net

Organizations & group practices 6

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": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1417520644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 N DALE MABRY HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182446",
            "telephone_number": "813-908-2020",
            "fax_number": "813-908-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13904 N DALE MABRY HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182446",
            "telephone_number": "813-908-2020",
            "fax_number": "813-908-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 McFarland Blvd N",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354062293",
            "country_code": "US",
            "telephone_number": "205-752-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Jack Warner Pkwy NE Ste B1",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354045715",
            "country_code": "US",
            "telephone_number": "205-556-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MICHAELE",
        "middle_name": "DORIES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2024-06-11",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003345",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6421",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-323-TA-C68",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.