Robert Snyder, O.D.
Individual provider Active NPI Optometrist · Ship Bottom, NJ
NPI 1790764066 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790764066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3965 (NJ)
- Practice address
- 1808 Long Beach Blvd
Ship Bottom, NJ 08008-4443 - Phone
- (609) 494-6868
- Fax
- (609) 494-0990
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amico Eye Group, LLC
Practice addresses (Care Compare)
1808 Long Beach Blvd
Ship Bottom, NJ 08008-4443
Phone (609) 494-6868
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100625000727 | NJ | Practitioner - Optometry | 3870635709 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3965 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amico Eye Group LLC | Optometrist | Current |
Accepting new patients |
Locations
1 Leifried Ln
Ste 1
Little Egg Harbor Twp, NJ 08087
Phone (609) 296-2450
1 Leifried Ln
Little Egg Harbor Twp, NJ 08087
Phone (609) 276-2326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3965 | NJ | Yes |
Addresses
Primary practice location
1808 Long Beach Blvd
Ship Bottom, NJ 08008-4443
Mailing address
1808 Long Beach Blvd
Ship Bottom, NJ 08008-4443
Phone (609) 494-6868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0478897000 | Other | NJ | AMERIHEALTH |
Other providers in Ship Bottom, NJ
- Taryn Parascand
- Daniel Anthony Parrotta
- Paul William Prosperi
- Lauren Rhatigan
- Lauren Scharf-Snyder
- Snyder& Snyder& Scharf-Snyder PTR
- James Noland Suddeth
- The New Center for Counseling and Psychotherapy, LLC
- Daniel A. Unger
- Vein Associates, Inc
All providers in Ship Bottom, NJ · Optometrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.