Individual provider Active NPI

Tod W. Smith, O.D.

  • Optometrist
  • Rifle, CO
National Provider Identifier
1003958067
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1374 Issued in CO
Practice address
232 E 3Rd St
Rifle, CO 81650-2320
Phone
(970) 625-1921
Fax
(970) 625-1928
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1374 CO Primary

Addresses

Primary practice location

232 E 3Rd St
Rifle, CO 81650-2320

Mailing address

232 E 3Rd St
Rifle, CO 81650-2320
Phone (970) 625-1921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000452 CO Practitioner - Optometry 4981818416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

232 E 3Rd St
Rifle, CO 81650-2320
Phone (970) 625-1921

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1374COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tod W. Smith, O.D.,P.C. Optometrist CurrentSince May 23, 2002 Accepting new patients

Locations

232 E 3rd St
Rifle, CO 81650
Phone (970) 625-1921

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1003958067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E 3RD ST",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502320",
            "telephone_number": "970-625-1921",
            "fax_number": "970-625-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E 3RD ST",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502320",
            "telephone_number": "970-625-1921",
            "fax_number": "970-625-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TOD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.