Active NPI
Dr Ronald N Smith Optometrist Inc
- Corneal and Contact Management Optometrist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- Legal business name
- DR RONALD N SMITH OPTOMETRIST INC
- Practice address
- 2732 S Broadway Ave
Tyler, TX 75701-5412 - Phone
- (903) 597-9020
- NPI assigned
- Mar 2, 2007
- Last updated
- May 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald N Smith, OD
- Title
- President
- Phone
- (903) 597-9020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Corneal and Contact Management Optometrist | 152WC0802X | Primary |
Addresses
Primary practice location
2732 S Broadway Ave
Tyler, TX 75701-5412
Mailing address
2732 S Broadway Ave
Tyler, TX 75701-5412
Phone (903) 597-9020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025EX | Other | TX | GROUP NUMBER FOR BLUECROS |
| 00014S | Other | TX | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2116266 | Dr Ronald N Smith, Optometrist, Inc | Certificate of waiver | Jul 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
2732 S Broadway Ave
Tyler, TX 75701
Phone (903) 597-9020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Tyler, TX
- NPI 1215920111
-
- Optometrist
- Tyler, TX
- NPI 1295882033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369008000000",
"number": "1174651731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757015412",
"telephone_number": "903-597-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2732 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757015412",
"telephone_number": "903-597-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR RONALD N SMITH OPTOMETRIST INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2013-05-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-597-9020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER FOR BLUECROS",
"identifier": "0025EX",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00014S",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.