Snyder Eyecare of Ephrata LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001953 Issued in PA

Legal business name

SNYDER EYECARE OF EPHRATA LLC

Practice address

1261 Division Hwy
Ephrata, PA 17522-8822

Phone

(215) 260-6590

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John M Snyder, O.D.

Title

Optometrist

Phone

(215) 260-6590

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1952777112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 DIVISION HWY",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 DIVISION HWY",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228822",
            "telephone_number": "215-260-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER EYECARE OF EPHRATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-260-6590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102384232",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Smith, OTR/L
• Eric A Smith
• Jennifer Dale Smith, LMT
• Jason B Snavely, MD
• Jonathan A Sneller, D.O.
• Ashlee E Snyder, LMT
• Angela Sollenberger
• Imanual Somers-Dehaney, MD
• Olivia Grace Sopko, PA-C
• Michael Thomas Souhrada

• Optometrist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.