Active NPI
Jeffrey Scott Snyder, O.D.
- Optometrist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4714TG
- Practice address
- 2413 E Loop 820 N
Ft Worth, TX 76118-6933 - Phone
- (888) 964-6681
- Fax
- (888) 662-0859
- NPI assigned
- Sep 12, 2005
- Last updated
- May 24, 2021
- 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 | 4714TG | TX | Primary |
Addresses
Primary practice location
2413 E Loop 820 N
Ft Worth, TX 76118-6933
Mailing address
3758 Durness Way
Houston, TX 77025-2402
Phone (713) 818-5109
Other practice location 1
4635 Southwest Fwy
suite 155
Houston, TX 77027-7169
Phone (281) 615-4767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019428401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4714TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey L. Morer, OD, PA | Optometrist | Current | Accepting new patients |
| Ambrose Mobile Health Care Association | Past | Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Humble, TX
- NPI 1619126109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1760476287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3758 DURNESS WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770252402",
"telephone_number": "713-818-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 E LOOP 820 N",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761186933",
"telephone_number": "888-964-6681",
"fax_number": "888-662-0859"
}
],
"practiceLocations": [
{
"address_1": "4635 Southwest Fwy",
"address_2": "suite 155",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770277169",
"country_code": "US",
"telephone_number": "281-615-4767",
"fax_number": "281-394-7413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4714TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019428401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.