Organization Active NPI

Tod W. Smith, O.D.,P.C.

  • Optometrist
  • Rifle, CO
National Provider Identifier
1083972418
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1374 Issued in CO
Legal business name
TOD W. SMITH, O.D.,P.C.
Practice address
232 E 3Rd St
Rifle, CO 81650-2320
Phone
(970) 625-1921
Fax
(970) 625-1928
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Tod SmithNPI 1003958067
Title
President
Phone
(970) 625-1921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1374 CO Primary

Addresses

Primary practice location

232 E 3Rd St
Rifle, CO 81650-2320

Mailing address

232 E 3Rd St
Rifle, CO 81650-2320
Phone (970) 625-1921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000044 CO Part B Supplier - Clinic/Group Practice 1759401581 Receives reassigned benefits from 1 practitioner
Practice locations: Rifle, CO

National Provider Directory

National Provider Directory

Locations

232 E 3rd St
Rifle, CO 81650
Phone (970) 625-1921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1083972418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E 3RD ST",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502320",
            "telephone_number": "970-625-1921",
            "fax_number": "970-625-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E 3RD ST",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502320",
            "telephone_number": "970-625-1921",
            "fax_number": "970-625-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOD W. SMITH, O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-625-1921"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.