Jason Lowell Smothers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN17651795 Issued in TN

Practice address

1100 S Dupree Ave
Brownsville, TN 38012

Phone

(731) 772-0101

Fax

(731) 772-2604

NPI assigned

May 10, 2006

Last updated

Aug 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Mark Lynn & Associates, PLLC

  dba Visionworks Doctors of Optometry

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  Medicare reassignment NPD
• Ky Doctors of Optometry, PLLC

  dba Visionworks Drs of Optometry

  • Eyewear Supplier
  • St Matthews, KY
  • NPI 1801610985

  Optometrist

  NPD
• Forrest K Busch DO

  • Non-Pharmacy Dispensing Site
  • Dyersburg, TN
  • NPI 1649349374
  NPD (past)
• Forrest Kenton Busch, D.O. P.C.

  dba Dyersburg Skin Clinic

  • Dermatology Physician
  • Dyersburg, TN
  • NPI 1740483692
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1184674590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "GADSDEN",
            "state": "TN",
            "postal_code": "383370110",
            "telephone_number": "731-784-4058",
            "fax_number": "731-772-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S DUPREE AVE",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "38012",
            "telephone_number": "731-772-0101",
            "fax_number": "731-772-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "JASON",
        "middle_name": "LOWELL",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN17651795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11230090",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020350",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3941117",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anika Powell Shaw, LCSW
• Silas D&a Enterprises LLC (SDA Learning Center)
• Antoinette Yvette Silas
• Anne Elizabeth Siler, PHARMD
• Morgan W Simpson, FNP-C
• Kathy Snow
• Brittany Spears, PHARM.D.
• State of Tennessee (Haywood County Health Department)
• Jane Ann Sullivan, NP
• Raven S Taylor, MD

• Optometrist in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.