Individual provider Active NPI

Gary Sneag, O.D.,F.C.O.V.D.

  • Vision Therapy Optometrist
  • San Diego, CA
National Provider Identifier
1952394777
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
CA8399T Issued in CA
Practice address
4310 Genesee Ave
Ste 101
San Diego, CA 92117-4970
Phone
(858) 560-5181
Fax
(858) 560-1926
NPI assigned
Aug 26, 2005
Reactivated
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X CA8399T CA Primary

Addresses

Primary practice location

4310 Genesee Ave
Ste 101
San Diego, CA 92117-4970

Mailing address

4310 Genesee Ave
Ste 101
San Diego, CA 92117-4970
Phone (858) 560-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000724 CA Practitioner - Optometry 6901837848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Langford OD Optometric CorporationGroup PAC ID 9931599974, 3 clinicians

Practice addresses (Care Compare)

4310 Genesee Ave
Suite 101
San Diego, CA 92117-4936
Phone (858) 560-5181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA8399TCAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
M Langford OD Optometric Corporation CurrentSince Oct 15, 2021 Accepting new patients

Locations

4310 Genesee Ave
San Diego, CA 92117

4310 Genesee Ave
Ste 101
San Diego, CA 92117
Phone (619) 560-5181

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1952394777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 GENESEE AVE",
            "address_2": "STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174970",
            "telephone_number": "858-560-5181",
            "fax_number": "858-560-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 GENESEE AVE",
            "address_2": "STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174970",
            "telephone_number": "858-560-5181",
            "fax_number": "858-560-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEAG",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "O.D.,F.C.O.V.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-03-24",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "CA8399T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.