Paul a. Snyder O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12005 Issued in CA

Legal business name

PAUL A. SNYDER O.D., INC.

Doing business as

Oakbrook Optometry

Practice address

2125 E Thousand Oaks Blvd Ste a
Thousand Oaks, CA 91362-2945

Phone

(805) 497-7373

Fax

(805) 492-0034

NPI assigned

Apr 11, 2018

Last updated

Apr 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Snyder, ODNPI 1063502730

Title

Doctor

Phone

(805) 497-7373

Specialties & licenses 1

Addresses

Other names 1

• Oakbrook Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Paul Alan Snyder, O.D.

  • Optometrist
  • Thousand Oaks, CA
  • NPI 1063502730
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel M Gannam, OD

  • Optometrist
  • Thousand Oaks, CA
  • NPI 1073528949
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1922505353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 E THOUSAND OAKS BLVD STE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622945",
            "telephone_number": "805-497-7373",
            "fax_number": "805-492-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E THOUSAND OAKS BLVD STE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622945",
            "telephone_number": "805-497-7373",
            "fax_number": "805-492-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. SNYDER O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "805-497-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakbrook Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.