Active NPIIndividual providerSole proprietor

Dr. Sneha Bagavandoss, OD

Optometrist, Vision Therapy in Union, Missouri

NPI Number1104302660
Practice location
507 S Lincoln Ave, Union, MO 63084-2121
Fax
636-583-8328
Last updated
May 28, 2020

Sneha Bagavandoss is an Optometrist, Vision Therapy based in Union, MO. Sneha Bagavandoss practices in Union, MO and has the professional credentials of OD. The NPI Number for Sneha Bagavandoss is 1104302660 and holds a License No. 27OA00681400 (NJ). The current practice location address for Sneha Bagavandoss is 507 S Lincoln Ave, Union, MO 63084-2121 and can be reached out via phone at 636-583-3322 and via fax at 636-583-8328.

Provider Profile Details

NPI Number
1104302660
Provider Name
Sneha Bagavandoss
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
507 S Lincoln Ave, Union, MO 63084-2121
Phone Number
636-583-3322
Fax Number
636-583-8328
Primary Taxonomy
Optometrist, Vision Therapy · 152WV0400X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2018
Last Update Date
May 28, 2020
Certification Date
May 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
507 S Lincoln Ave
Union, MO 63084-2121
City
Union
Zip
63084-2121
Phone Number
636-583-3322
Fax Number
636-583-8328
Union, MO 63084Get directions →

Provider Business Mailing Address Details

Address
507 S Lincoln Ave
Union, MO 63084-2121
City
Union
State
MO
Zip
63084-2121
Phone Number
636-583-3322
Fax Number
636-583-8328

License Information

License Number (1)
27OA00681400
License State (1)
NJ
Taxonomy (1)
Optometrist, Vision Therapy · 152WV0400X
License Number (2)
2019024861
License State (2)
MO
Taxonomy (2)
Optometrist, Vision Therapy · 152WV0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sneha Bagavandoss, OD?

The NPI number of Dr. Sneha Bagavandoss, OD is 1104302660. It was assigned on July 17, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Sneha Bagavandoss, OD?

Dr. Sneha Bagavandoss, OD is registered under the primary taxonomy Optometrist, Vision Therapy (code 152WV0400X), licensed in NJ under license number 27OA00681400.

Where does Dr. Sneha Bagavandoss, OD practice?

The practice location is 507 S Lincoln Ave, Union, MO 63084-2121. The office can be reached at 636-583-3322 (phone) or 636-583-8328 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104302660 directly on the NPPES registry website.

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