Individual provider Active NPI

Christine Nguyen Snow, O.D.

  • Optometrist
  • Roseville, CA
National Provider Identifier
1740489475
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13273 Issued in CA
Practice address
576 N Sunrise Ave
110
Roseville, CA 95661-2841
Phone
(916) 773-3937
Fax
(916) 773-3936
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13273 CA Primary

Addresses

Primary practice location

576 N Sunrise Ave
110
Roseville, CA 95661-2841

Mailing address

576 N Sunrise Ave Ste 110
Roseville, CA 95661-2846
Phone (916) 773-3737

Other names 1

  • Christine Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20111025000539 CA Practitioner - Optometry 0345413068 Reassigns benefits to 1 organization
Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roseville OptometryGroup PAC ID 0840636593, 2 clinicians

Practice addresses (Care Compare)

576 N Sunrise Ave
Suite 110
Roseville, CA 95661-2846
Phone (916) 773-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Optometry Optometrist CurrentSince Feb 1, 2024 Accepting new patients
CK Vision Optometric, Inc. Optometrist Current Accepting new patients
Roseville Optometry Associates Optometrist PastSince Oct 1, 2015 Accepting new patients

Locations

576 N Sunrise Ave
Ste 110
Roseville, CA 95661
Phone (916) 773-3937

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1740489475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612846",
            "telephone_number": "916-773-3737",
            "fax_number": "916-773-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE",
            "address_2": "110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612841",
            "telephone_number": "916-773-3937",
            "fax_number": "916-773-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "CHRISTINE",
        "middle_name": "NGUYEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NGUYEN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.