Active NPI
Brian J Snyder, O.D.
- Optometrist
- Saint Paul, MN
National Provider Identifier
1609871557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2880
- Practice address
- 757 Cleveland Ave S
Saint Paul, MN 55116-1302 - Phone
- (651) 699-5400
- Fax
- (651) 789-3155
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2880 | MN | Primary |
Addresses
Primary practice location
757 Cleveland Ave S
Saint Paul, MN 55116-1302
Mailing address
1887 Montreal Ave
Saint Paul, MN 55116-2036
Phone (612) 619-6038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132539600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
757 Cleveland Ave S
Saint Paul, ME 55116-1302
757 Cleveland S Ave
Saint Paul, MN 55116-1302
Phone (651) 699-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snyder Vision Optometrists PLLC | Optometrist | Current | Accepting new patients |
Locations
757 Cleveland Ave S
Saint Paul, MN 55116
Phone (651) 699-1547
490 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 255-9999
Organizations & group practices 1
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.
-
- Optometrist
- Saint Paul, MN
- NPI 1407088305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1609871557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 MONTREAL AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551162036",
"telephone_number": "612-619-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 CLEVELAND AVE S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161302",
"telephone_number": "651-699-5400",
"fax_number": "651-789-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132539600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.