Marla C Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002006619 Issued in MO

Practice address

1265 E Primrose St
Springfield, MO 65804-4278

Phone

(417) 886-3937

Fax

(417) 886-1285

NPI assigned

Mar 29, 2006

Last updated

Jun 23, 2020By the provider in NPPES

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Ferris State College - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mattax Neu Prater Eye Center IncGroup PAC ID 6103713979, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as group

Quality

95

Improvement activities

40

Cost

77.49

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcsmith@mnpeyecenter.direct.eyemdemr.com

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.

• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Lebanon, MO
  • NPI 1528163300

  Optometrist

  Medicare reassignment NPD
• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Springfield, MO
  • NPI 1790745313

  Optometrist

  Medicare reassignment NPD
• Mattax Neu Prater Eye Center Inc

  • Eyewear Supplier
  • Monett, MO
  • NPI 1790888634
  NPD

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1093776098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655362742",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARLA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002006619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315803312",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315803304",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcs@mnp1999.integrityemrdirect.com",
            "affiliation": "N",
            "address_1": "1265 E Primrose St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658044278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linsey Smith, MS, ATC
• Luke George Foley Smith, M.D.
• Luther Ray Smith, MSW LCSW
• Madisen Smith, RD
• Madison Smith, M.S., L.A.C
• Marsha Carol Smith, LPC
• Matthew John Smith
• Matthew T Smith, O.D.
• McKenzie Smith, M.D.
• Michelle Nicole Smith

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.