Active NPI
Timothy E Snider, O.D.
- Optometrist
- Lawton, OK
National Provider Identifier
1730223207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1118
- Practice address
- 1224 NW Sheridan
Lawton, OK 73505-5210 - Phone
- (580) 248-0061
- Fax
- (580) 248-0074
- NPI assigned
- Feb 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1118 | OK | Primary |
Addresses
Primary practice location
1224 NW Sheridan
Lawton, OK 73505-5210
Mailing address
1224 NW Sheridan
Lawton, OK 73505-5210
Phone (580) 248-0061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100767840A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1118 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sei Optical, Inc. | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1730223207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 NW SHERIDAN",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055210",
"telephone_number": "580-248-0061",
"fax_number": "580-248-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 NW SHERIDAN",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055210",
"telephone_number": "580-248-0061",
"fax_number": "580-248-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "TIMOTHY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-17",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100767840A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.