Organization Active NPI

Dr. Tracy Snowden O.D., P.C.

  • Optometrist
  • Tucker, GA
National Provider Identifier
1982931689
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001590 Issued in GA
Legal business name
DR. TRACY SNOWDEN O.D., P.C.
Practice address
1940 Mountain Industrial Blvd
Tucker, GA 30084-6619
Phone
(678) 280-0248
Fax
(678) 280-0251
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Tracy Snowden
Title
Optometrist
Phone
(404) 593-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT001590 GA Primary

Addresses

Primary practice location

1940 Mountain Industrial Blvd
Tucker, GA 30084-6619

Mailing address

44 Peachtree Place
731
Atlanta, GA 30309-5402
Phone (404) 593-6750

National Provider Directory

National Provider Directory

Locations

1940 Mountain Industrial Blvd
Tucker, GA 30084
Phone (678) 280-0236

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1982931689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PEACHTREE PLACE",
            "address_2": "731",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303095402",
            "telephone_number": "404-593-6750",
            "fax_number": "404-963-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 MOUNTAIN INDUSTRIAL BLVD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846619",
            "telephone_number": "678-280-0248",
            "fax_number": "678-280-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRACY SNOWDEN O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "SNOWDEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "404-593-6750"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.