Organization Active NPI

Mason Eye Center, Inc.

  • Optometrist
  • Mason, OH
National Provider Identifier
1902041270
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T4147 Issued in OH
Legal business name
MASON EYE CENTER, INC.
Practice address
6667 Western Row Rd
Mason, OH 45040-1305
Phone
(513) 770-4220
Fax
(513) 586-0324
NPI assigned
Dec 15, 2008
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Dr. Ted Andrew Snyder, ODNPI 1073720975
Title
Owner
Phone
(513) 770-4220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T4147 OH Primary

Addresses

Primary practice location

6667 Western Row Rd
Mason, OH 45040-1305

Mailing address

6667 Western Row Rd
Mason, OH 45040-1305
Phone (513) 770-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000224 OH Part B Supplier - Clinic/Group Practice 5294885117 Receives reassigned benefits from 1 practitioner
Practice locations: Mason, OH

National Provider Directory

National Provider Directory

Locations

5112 Cedar Village Dr
Mason, OH 45040
Phone (513) 204-0054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1902041270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 WESTERN ROW RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401305",
            "telephone_number": "513-770-4220",
            "fax_number": "513-586-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 WESTERN ROW RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401305",
            "telephone_number": "513-770-4220",
            "fax_number": "513-586-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-770-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T4147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.