Active NPI
Oscar A Smith, OD
- Optometrist
- Columbia, MS
National Provider Identifier
1003917360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 465
- Practice address
- 317 Church Street
Columbia, MS 39429 - Phone
- (601) 736-5396
- Fax
- (601) 736-0182
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 465 | MS | Primary |
Addresses
Primary practice location
317 Church Street
Columbia, MS 39429
Mailing address
PO Box 548
Columbia, MS 39429-0548
Phone (601) 736-5396
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00087835 | Medicaid | MS | |
| 2230037 | Other | MS | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111108000315 | MS | Practitioner - Optometry | 2860502176 | Practice locations: Columbia, MS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1003917360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394290548",
"telephone_number": "601-736-5396",
"fax_number": "601-736-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 CHURCH STREET",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "39429",
"telephone_number": "601-736-5396",
"fax_number": "601-736-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "OSCAR",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00087835",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2230037",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.