Organization Active NPI

Gary E.M. Smith O.D. Inc

  • Optometrist
  • Tulare, CA
National Provider Identifier
1003900028
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5601T Issued in CA
Legal business name
GARY E.M. SMITH O.D. INC
Practice address
511 E Kern Ave
Tulare, CA 93274-4210
Phone
(559) 688-0661
Fax
(559) 688-9210
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Gary E.M. Smith, O.D.
Title
President of Corp./ Optometrist
Phone
(559) 688-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5601T CA Primary

Addresses

Primary practice location

511 E Kern Ave
Tulare, CA 93274-4210

Mailing address

PO Box 1137
Tulare, CA 93275-1137
Phone (559) 688-0661

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ83155ZMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1003900028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932751137",
            "telephone_number": "559-688-0661",
            "fax_number": "559-688-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E KERN AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744210",
            "telephone_number": "559-688-0661",
            "fax_number": "559-688-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY E.M. SMITH O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E.M.",
        "authorized_official_title_or_position": "PRESIDENT OF CORP./ OPTOMETRIST",
        "authorized_official_telephone_number": "559-688-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5601T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83155Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.