Organization Active NPI

Ronda F Smith

  • Optometrist
  • Bristol, TN
National Provider Identifier
1164530374
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
DPO976 Issued in TN
Legal business name
RONDA F SMITH
Practice address
308 Ridgemont St
Bristol, TN 37620-7132
Phone
(423) 764-7630
Fax
(423) 764-7630
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Ronda F Smith, DPO
Title
Owner
Phone
(423) 764-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X DPO976 TN Primary

Addresses

Primary practice location

308 Ridgemont St
Bristol, TN 37620-7132

Mailing address

308 Ridgemont St
Bristol, TN 37620-7132
Phone (423) 764-7630

Other names 1

  • Eye Designs Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1164530374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 RIDGEMONT ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207132",
            "telephone_number": "423-764-7630",
            "fax_number": "423-764-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 RIDGEMONT ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207132",
            "telephone_number": "423-764-7630",
            "fax_number": "423-764-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONDA F SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-764-7630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "DPO976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.