NPIMap

Organization Active NPI

Thomas D Snoeyink OD

  • Eyewear Supplier
  • Hudsonville, MI
National Provider Identifier
1558736371
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4901002873 Issued in MI
Legal business name
THOMAS D SNOEYINK OD
Practice address
3164 Port Sheldon St
Hudsonville, MI 49426-9317
Phone
(616) 669-1890
Fax
(616) 669-8457
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Dr. Thomas D Snoeyink, OD
Title
Owner
Phone
(616) 669-1890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 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

IdentifierTypeStateIssuer
0373700001OtherMIPTAN

National Provider Directory

National Provider Directory

Locations

3164 Port Sheldon St
Hudsonville, MI 49426
Phone (616) 538-0150

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1558736371",
    "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": {
        "organization_name": "THOMAS D SNOEYINK OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "SNOEYINK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-669-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.