Organization Active NPI

Snodgrass Family Eyecare, PLLC

  • Eyewear Supplier
  • Clive, IA
National Provider Identifier
1942525225
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1994 Issued in IA
Legal business name
SNODGRASS FAMILY EYECARE, PLLC
Practice address
1250 NW 128TH St
Suite 150
Clive, IA 50325-7432
Phone
(515) 223-9595
Fax
(515) 223-9792
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Jane Anne Snodgrass, O.D.
Title
Manager
Phone
(515) 223-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1994 IA Primary

Addresses

Primary practice location

1250 NW 128TH St
Suite 150
Clive, IA 50325-7432

Mailing address

1250 NW 128TH St
Suite 150
Clive, IA 50325-7432
Phone (515) 223-9595

National Provider Directory

National Provider Directory

Locations

1250 NW 128th St
Clive, IA 50325
Phone (515) 223-9595

8801 University Ave
Ste 20A
Clive, IA 50325
Phone (515) 224-1317

1250 NW 128th St
Ste 150
Clive, IA 50325
Phone (515) 223-9595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1942525225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH ST",
            "address_2": "SUITE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257432",
            "telephone_number": "515-223-9595",
            "fax_number": "515-223-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH ST",
            "address_2": "SUITE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257432",
            "telephone_number": "515-223-9595",
            "fax_number": "515-223-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNODGRASS FAMILY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-223-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IA",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.