Individual provider Active NPI

Jeremy Vanloring Smith, O.D.

  • Optometrist
  • Cynthiana, KY
National Provider Identifier
1154463255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1626DT Issued in KY
Practice address
202 W Pleasant St
Cynthiana, KY 41031-1434
Phone
(859) 234-1424
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1626DT KY Primary

Addresses

Primary practice location

202 W Pleasant St
Cynthiana, KY 41031-1434

Mailing address

202 W Pleasant St
Cynthiana, KY 41031-1434
Phone (859) 234-1424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20041213000136 KY Practitioner - Optometry 4789641754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frankfort Eye Center PSCGroup PAC ID 0941375612, 8 clinicians

Practice addresses (Care Compare)

100 Diagnostic Dr
Frankfort, KY 40601-6524

112 Osbourne Way
Georgetown, KY 40324-9636
Phone (859) 278-8443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frankfort Eye Center PSC Optometrist CurrentSince Dec 15, 2020 Accepting new patients
Dr Polly Hendricks & Associates, LLC Optometrist PastSince Dec 1, 2008 Accepting new patients
Dr Brett a Hines PSC Optometrist Past Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

100 Diagnostic Dr
#A
Frankfort, KY 40601
Phone (502) 875-9860

15 Grandview Dr
Ste F
Frankfort, KY 40601
Phone (502) 695-1771

100 Diagnostic Dr
Frankfort, KY 40601
Phone (502) 226-3937

112 Osborne Way
Georgetown, KY 40324
Phone (502) 863-9777

715 Shaker Dr
Ste 120
Lexington, KY 40504
Phone (859) 278-8443

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154463255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W PLEASANT ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311434",
            "telephone_number": "859-234-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PLEASANT ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311434",
            "telephone_number": "859-234-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "middle_name": "VANLORING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1626DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.