Active NPI
Robert W Snyder MD PHD PC
- Ophthalmology Physician
- Anchorage, AK
National Provider Identifier
1912171083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 5857
- Legal business name
- ROBERT W SNYDER MD PHD PC
- Practice address
- 534 W 2ND Ave
Anchorage, AK 99501-2208 - Phone
- (520) 327-2020
- Fax
- (520) 881-4396
- NPI assigned
- Apr 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Wickert Snyder, MD, PHD
- Title
- Owner
- Phone
- (520) 327-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 5857 | AK | Primary |
Addresses
Primary practice location
534 W 2ND Ave
Anchorage, AK 99501-2208
Mailing address
4711 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 327-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD3809 | Medicaid | AK | |
| 1275597981 | Other | AZ | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
4711 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 327-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Tucson, AZ
- NPI 1760472369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1912171083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 E CAMP LOWELL DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121256",
"telephone_number": "520-327-2020",
"fax_number": "520-881-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 W 2ND AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995012208",
"telephone_number": "520-327-2020",
"fax_number": "520-881-4396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT W SNYDER MD PHD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "WICKERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-327-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AK",
"license": "5857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD3809",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1275597981",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.