Jill Terry Smittle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9404T Issued in CA

Practice address

1661 Golden Rain Rd
Seal Beach, CA 90740-4907

Phone

(562) 795-6227

Fax

(562) 430-6351

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Whittier Oncology Medical Clinic, Inc.

  • Radiation Oncology Clinic/Center
  • Whittier, CA
  • NPI 1427101229
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1053472407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073404",
            "telephone_number": "310-937-6585",
            "fax_number": "310-542-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 GOLDEN RAIN RD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907404907",
            "telephone_number": "562-795-6227",
            "fax_number": "562-430-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITTLE",
        "first_name": "JILL",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9404T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaylyn Smith, PHARMD
• Jayne Smith
• Nancy A Smith, MD
• Ravipan I Smith, D.D.S., M.S.
• Sandra Lee Smith, PH.D.
• Dion Smotherman, LMFT
• Socal Pro Health, LLC
• George Somlo, MD
• Sonus-USA, Inc.
• Southbay Los Angeles Physical Therapy Inc

• Optometrist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.