Individual provider Active NPI

Jimmy D Smart, OD

  • Optometrist
  • Woodward, OK
National Provider Identifier
1114983897
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2471 Issued in OK
Practice address
1009 Texas Ave
Woodward, OK 73801-3127
Phone
(580) 254-8020
Fax
(580) 254-8377
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2471 OK Primary

Addresses

Primary practice location

1009 Texas Ave
Woodward, OK 73801-3127

Mailing address

PO Box 187
Woodward, OK 73802-0187
Phone (580) 254-8020

Other practice location 1

1545 N Washington St
Weatherford, OK 73096-2518
Phone (580) 772-2819

Other identifiers 1

IdentifierTypeStateIssuer
200070610AMedicaidOK

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060131000074 OK Practitioner - Optometry 6305876921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Eye Care PLLCGroup PAC ID 3779688171, 2 clinicians
Weatherford Eyecare Center, PLLCGroup PAC ID 0749305928, 3 clinicians

Practice addresses (Care Compare)

1009 Texas St
Woodward, OK 73801-3127
Phone (580) 254-8020

1545 N Washington St
Weatherford, OK 73096-2518
Phone (580) 772-2819

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2471OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Eye Care PLLC Optometrist CurrentSince Jan 15, 2007 Accepting new patients
Frederick Eye Care PLLC Optometrist CurrentSince Jan 15, 2007 Accepting new patients
Weatherford Eyecare Center, PLLC Optometrist CurrentSince Sep 6, 2017 Accepting new patients
Paul C. Tisdal, O.D., P.C. Optometrist CurrentSince Sep 6, 2017 Accepting new patients
Scott M. Carlson OD PC Optometrist PastSince Jun 1, 2004 Accepting new patients

Locations

315 S Main St
Frederick, OK 73542
Phone (580) 335-2020

1545 N Washington St
Weatherford, OK 73096
Phone (580) 772-2819

1009 Texas St
Woodward, OK 73801
Phone (580) 254-8020

Interoperability endpoints

  • Direct secure messaging: jsmart@weatherfordeyecare.eyefinity-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1114983897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738020187",
            "telephone_number": "580-254-8020",
            "fax_number": "580-254-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 TEXAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013127",
            "telephone_number": "580-254-8020",
            "fax_number": "580-254-8377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730962518",
            "country_code": "US",
            "telephone_number": "580-772-2819",
            "fax_number": "580-772-2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMART",
        "first_name": "JIMMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200070610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.