Mark Thomas Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2945 Issued in TN

Practice address

592 Main St N
MC Kenzie, TN 38201-1707

Phone

(731) 352-2020

Fax

(731) 352-3314

NPI assigned

Sep 9, 2010

Sex

Male

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

Enrolled in TN

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

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T H Smith OD and Thomas K Smith OD PCGroup PAC ID 8022144104, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• T H Smith OD and Thomas K Smith OD PC

  • Optometrist
  • MC Kenzie, TN
  • NPI 1184823593
  Medicare reassignment Care Compare group NPD Authorized official
• McKenzie Medical Center PC

  • Rural Health Clinic/Center
  • MC Kenzie, TN
  • NPI 1477516953

  Optometrist

  NPD

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1053628271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 MAIN ST N",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011707",
            "telephone_number": "731-352-2020",
            "fax_number": "731-352-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 MAIN ST N",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011707",
            "telephone_number": "731-352-2020",
            "fax_number": "731-352-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiloh Emergency Physicians LLC
• Paxton Kimber Sisson, P.A.
• Amy S Smith
• Brenda Faye Smith, PTA
• Emily Elaine Smith, MS, CCC-SLP
• Thomas K Smith, OD
• Spirit Lake Recovery, LLC
• Spivey Eye Clinic
• Aaron L Spivey III, OD
• Scott L Spivey, OD

• Optometrist in MC Kenzie, TN
• Providers in MC Kenzie, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.