Katie Grace Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3593 Issued in TN

Practice address

220 N Chancery St
McMinnville, TN 37110-2551

Phone

(931) 473-2487

Fax

(931) 473-8782

NPI assigned

Jun 3, 2020

Last updated

May 10, 2023By the provider in NPPES

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 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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Tennessee, LLCGroup PAC ID 1355379256, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksmith@ecotn.intellechartdirect.net

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.

• Eye Centers of Tennessee, LLC

  • Ophthalmology Physician
  • Crossville, TN
  • NPI 1104940790

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • McMinnville, TN
  • NPI 1306014378
  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • Cookeville, TN
  • NPI 1548013832
  NPD

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1083238174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 THOMASWOOD CHASE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373889542",
            "telephone_number": "731-607-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102551",
            "telephone_number": "931-473-2487",
            "fax_number": "931-473-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATIE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lynn Smartt, NP
• Caren L Smith, LPN
• Haley Smith
• Herbert X Smith, MD
• Jacqueline T Smith, DPM
• Matthew Ryan Smith, PT
• Anatoliy Smyrnov, PT
• Larry Dewayne Sneed, APRN
• Teresa Snook
• Adry Ryan Snow, APRN, FNP-C

• Optometrist in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.