Jennifer Rebecca Small, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006871 Issued in NY

Practice address

2237 Saranac Ave
Lake Placid, NY 12946-1185

Phone

(518) 523-1530

Fax

(518) 531-6831

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Miller Eyecare Annapolis DC, LLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1962567008
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053410183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461185",
            "telephone_number": "518-523-1530",
            "fax_number": "518-531-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461185",
            "telephone_number": "518-523-1530",
            "fax_number": "518-531-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Schum, OTR/L
• David Seguin, M.A., C.A.S.
• Susan Skinner, MA, BE-NCC
• Caitlin Skufca, OTR/L
• Ann F Slack, MSPT
• Daniel Steven Smith, ATC
• William James Smith, MD
• Sharon Marie Sommers, MS
• Bradford A Stephens, MD
• Elise Stosiek, R.N. BSN

• Optometrist in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.