Individual provider Active NPI

Mark A Snyder, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1811949530
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003340A Issued in IN
Practice address
1035 N Post Rd Ste B
Indianapolis, IN 46219-4245
Phone
(317) 449-2122
Fax
(317) 449-2123
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003340A IN Primary

Addresses

Primary practice location

1035 N Post Rd Ste B
Indianapolis, IN 46219-4245

Mailing address

1035 N Post Rd Ste B
Indianapolis, IN 46219-4245
Phone (317) 449-2122

Other identifiers 1

IdentifierTypeStateIssuer
300009910MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060630000320 IN Practitioner - Optometry 0042279564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark a Snyder OD LLCGroup PAC ID 6204194558, 2 clinicians

Practice addresses (Care Compare)

1035 N Post Rd
Suite B
Indianapolis, IN 46219-4245
Phone (317) 449-2122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Snyder OD LLC Optometrist CurrentSince Dec 1, 2017 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients

Locations

1035 N Post Rd
Ste B
Indianapolis, IN 46219
Phone (317) 449-2122

1035 N Post Rd
Indianapolis, IN 46219
Phone (317) 449-2122

Organizations & group practices 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1811949530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N POST RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194245",
            "telephone_number": "317-449-2122",
            "fax_number": "317-449-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N POST RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194245",
            "telephone_number": "317-449-2122",
            "fax_number": "317-449-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003340A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300009910",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.