Individual provider Active NPI

Todd R. Smith, O.D.

  • Optometrist
  • Peoria, AZ
National Provider Identifier
1023003753
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1301 Issued in AZ
Practice address
8877 W Union Hills Dr
Ste 460
Peoria, AZ 85382-3008
Phone
(623) 256-0400
Fax
(623) 376-6800
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1301 AZ Primary

Addresses

Primary practice location

8877 W Union Hills Dr
Ste 460
Peoria, AZ 85382-3008

Mailing address

8877 W Union Hills Dr
Ste 460
Peoria, AZ 85382-3008
Phone (623) 256-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040318001741 AZ Practitioner - Optometry 0941190235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westbrook Vision Center PLCGroup PAC ID 7113942871, 3 clinicians

Practice addresses (Care Compare)

8877 W Union Hills Dr
Suite 460
Peoria, AZ 85382-8003
Phone (623) 256-0400

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westbrook Vision Center PLC Optometrist CurrentSince Aug 23, 2005 Accepting new patients
Dr. Kenneth O'Daniel & Assoc., PC Optometrist PastSince Mar 29, 2017 Accepting new patients
Valley Eye Care Inc. Optometrist Past Accepting new patients
Phoenix Family Medicine, PC PastSince Sep 1, 2003 Accepting new patients

Locations

8877 W Union Hills Dr
Ste D460
Peoria, AZ 85382

8877 W Union Hills Dr
Ste 460
Peoria, AZ 85382
Phone (623) 256-0400

Organizations & group practices 4

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1023003753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "STE 460",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-256-0400",
            "fax_number": "623-376-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR",
            "address_2": "STE 460",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-256-0400",
            "fax_number": "623-376-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.