Individual provider Active NPI

Monty Larue Snowden, O.D.

  • Optometrist
  • Stillwater, OK
National Provider Identifier
1720070253
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1162 Issued in OK
Practice address
420 S Knoblock St
Stillwater, OK 74074-3024
Phone
(405) 372-2033
Fax
(405) 372-2388
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1162 OK Primary

Addresses

Primary practice location

420 S Knoblock St
Stillwater, OK 74074-3024

Mailing address

420 S Knoblock St
Stillwater, OK 74074-3024
Phone (405) 372-2033

Other identifiers 1

IdentifierTypeStateIssuer
100763820AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060213000388 OK Practitioner - Optometry 9436163367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drummond Eye Clinic PCGroup PAC ID 9032124177, 4 clinicians

Practice addresses (Care Compare)

420 S Knoblock St
Stillwater, OK 74074-3024
Phone (405) 372-2033

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1162OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Drummond Eye Clinic, P.C. Optometrist CurrentSince Jan 9, 2006 Accepting new patients
Paul B. Snowden Optometrist Past Accepting new patients
Snowden Eye Care, PLLC Optometrist Past Accepting new patients

Locations

420 S Knoblock St
Stillwater, OK 74074
Phone (405) 372-2033

Organizations & group practices 3

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1720070253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S KNOBLOCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743024",
            "telephone_number": "405-372-2033",
            "fax_number": "405-372-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S KNOBLOCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743024",
            "telephone_number": "405-372-2033",
            "fax_number": "405-372-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "MONTY",
        "middle_name": "LARUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763820A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.