Individual provider Active NPI

Jeffrey Scott Snyder, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1760476287
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4714TG Issued in TX
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019428401MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009001493 TX Practitioner - Optometry 5294765418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4714TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Morer, OD, PA Optometrist CurrentSince Jan 20, 2020 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.

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

Verify at the official NPI Registry.