Rob Smith

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

ROB SMITH

Practice address

736 Lapeer Ave
Port Huron, MI 48060-4410

Phone

(810) 982-4451

Fax

(810) 982-8539

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Rob K SmithNPI 1255474128

Title

Owner

Phone

(810) 982-4451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shallcross Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Rob Smith

  • Optician
  • Port Huron, MI
  • NPI 1255474128
  NPD Authorized official

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1124297338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 LAPEER AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604410",
            "telephone_number": "810-982-4451",
            "fax_number": "810-982-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 LAPEER AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604410",
            "telephone_number": "810-982-4451",
            "fax_number": "810-982-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROB SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-982-4451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540G410540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shallcross Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melisa Joann Rinehart
• Toni Rae Riske, DNP, FNP-C
• Mackenzie Marie Ritchie
• Rite Aid of Michigan Inc
• Riverview Physical Therapy and Rehab,LLC
• Eric James Robb, M.D.
• Fredric Burton Roberts, ED D
• Jeremy Michael Roberts, D.O.
• Quinn Olivia Roberts
• Riley Robinson, PA-C

• Optician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Optician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.