Individual provider Active NPI

Daniel Bryant Smith, O.D.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1215022173
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1229-378T Issued in LA
Practice address
12656 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone
(225) 751-4100
Fax
(225) 751-4103
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1229-378T LA Primary

Addresses

Primary practice location

12656 Jefferson Hwy
Baton Rouge, LA 70816-6240

Mailing address

12656 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone (225) 751-4100

Other practice location 1

950 E Washington St
Baton Rouge, LA 70802-6622
Phone (225) 751-4100

Other identifiers 2

IdentifierTypeStateIssuer
1437107MedicaidLA
118291OtherLAEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101013000754 LA Practitioner - Optometry 3274725957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12656 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone (225) 751-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1229-378TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Smith'S Eye Care & Optical LTD Optometrist CurrentSince Oct 1, 2012 Accepting new patients

Locations

12656 Jefferson Hwy
Baton Rouge, LA 70816
Phone (225) 751-4100

12333 Jefferson Hwy
Ste I
Baton Rouge, LA 70816
Phone (225) 751-4100

Organizations & group practices 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215022173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166240",
            "telephone_number": "225-751-4100",
            "fax_number": "225-751-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166240",
            "telephone_number": "225-751-4100",
            "fax_number": "225-751-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708026622",
            "country_code": "US",
            "telephone_number": "225-751-4100",
            "fax_number": "225-256-3958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1229-378T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437107",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "118291",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.