Active NPI
Pamela S. Gilmartin, OD
- Optometrist
- Traverse City, MI
National Provider Identifier
1922242825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2009014769
- Practice address
- 822 Cass St
Traverse City, MI 49684-3230 - Phone
- (231) 946-6095
- Fax
- (231) 252-4404
- NPI assigned
- Apr 23, 2009
- Last updated
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2009014769 | MO | Primary |
| Optometrist | 152W00000X | 4901004513 | MI | |
| Pediatric Optometrist | 152WP0200X | 2009014769 | MO | |
| Vision Therapy Optometrist | 152WV0400X | 2009014769 | MO | |
| Occupational Vision Optometrist | 152WX0102X | 4901004513 | MI |
Addresses
Primary practice location
822 Cass St
Traverse City, MI 49684-3230
Mailing address
822 Cass St
Traverse City, MI 49684-3230
Phone (231) 946-6095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922242825 | Medicaid | MO |
Other names 1
- Pamela M. Snyder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004513 | MI | MD | Optometrist |
| 2009014769 | MO | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1922242825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 CASS ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496843230",
"telephone_number": "231-946-6095",
"fax_number": "231-252-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 CASS ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496843230",
"telephone_number": "231-946-6095",
"fax_number": "231-252-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMARTIN",
"first_name": "PAMELA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2009014769",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004513",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MO",
"license": "2009014769",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "MO",
"license": "2009014769",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "MI",
"license": "4901004513",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922242825",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "SNYDER",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.