Tamara Smith Old, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

415 Issued in NV

Practice address

4874 Sparks Blvd
Sparks, NV 89436-8206

Phone

(775) 358-1317

Fax

(775) 355-7522

NPI assigned

Oct 17, 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

Other identifiers 1

Other names 1

• Mrs. Tamara Lynn Smith Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

New England College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Demers Family Vision Group, Inc.Group PAC ID 2860594488, 5 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.

• Demers Family Vision Group, Inc.

  • Optometrist
  • Sparks, NV
  • NPI 1649388794
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1104906759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4874 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368206",
            "telephone_number": "775-358-1317",
            "fax_number": "775-355-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4874 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368206",
            "telephone_number": "775-358-1317",
            "fax_number": "775-355-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLD",
        "first_name": "TAMARA",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "V100563",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "SMITH",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan Oda
• Daisy Ojeda
• Elizabeth Ojeda
• Vivian Okirie, MD
• Ayodele Okunola, M.D.
• Gloria Olivares
• Carlissa Olmstead
• Ewelina Joanna Olszewska, M.ED
• Richelle Olvera
• Mackayla Jae Omalley I

• Optometrist in Sparks, NV
• Providers in Sparks, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.