ALEXIS LEANNE SNODGRASS (OD) – Optometrist, NPI 1467293423

ALEXIS LEANNE SNODGRASS (OD) is a healthcare provider. based in Selah, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD61563284 (WA). The NPI Number for ALEXIS LEANNE SNODGRASS (OD) is 1467293423

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS LEANNE SNODGRASS (OD)
NPI
1467293423
Phone
Not provided
Address
1101 HERITAGE HILLS LN
Enumeration Date
4 June 2024
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5099662966
Graduation Year
2024 (2 years ago)
PAC ID
1658814728
Group Practice PAC ID
4688666902
Professional Enrollment ID
I20240617003672
Address ID
WA989083961YA1211XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for ALEXIS LEANNE SNODGRASS (OD)

  • 1101 HERITAGE HILLS LN

    SELAH, WA 989421752

    Phone:

    Type: Mailing

  • 1211 S 40TH AVE

    YAKIMA, WA 989083961

    Phone: (509) 966-2966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240617003672IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98942)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688666902View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

How do payers reference ALEXIS LEANNE SNODGRASS (OD)?
For ALEXIS LEANNE SNODGRASS (OD), use NPI 1467293423 as the unique 10-digit identifier.
Is ALEXIS LEANNE SNODGRASS (OD) still an active registrant?
ALEXIS LEANNE SNODGRASS (OD) carries an active NPI according to the public dataset.
What area of care is associated with ALEXIS LEANNE SNODGRASS (OD)?
ALEXIS LEANNE SNODGRASS (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is ALEXIS LEANNE SNODGRASS (OD) associated with Selah?
Public fields place ALEXIS LEANNE SNODGRASS (OD) around Selah, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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