Individual provider Active NPI

Rodney V Snow, OD

  • Optometrist
  • Akron, OH
National Provider Identifier
1982687349
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3499 Issued in OH
Practice address
1655 W Market St
Akron, OH 44313-7004
Phone
(330) 867-1104
Fax
(330) 867-1615
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3499 OH Primary
Optometrist 152W00000X T811 OH

Addresses

Primary practice location

1655 W Market St
Akron, OH 44313-7004

Mailing address

1655 W Market St
Akron, OH 44313-7004
Phone (330) 867-1104

Other identifiers 2

IdentifierTypeStateIssuer
2815407003OtherMEDICAL MUTUAL
000000136876OtherANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090915000647 OH Practitioner - Optometry 2769537927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3499OHMDOptometrist
T811OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 20, 2021 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 20, 2021 Accepting new patients

Locations

1655 W Market St
Ste 110
Akron, OH 44313
Phone (330) 867-1104

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

Organizations & group practices 2

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1982687349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137004",
            "telephone_number": "330-867-1104",
            "fax_number": "330-867-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137004",
            "telephone_number": "330-867-1104",
            "fax_number": "330-867-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "RODNEY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3499",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "2815407003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000136876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.