Active NPI
Bradley Jackson Smurr, O.D.
- Optometrist
- Dade City, FL
National Provider Identifier
1245210483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2393
- Practice address
- 13940 7TH St
Dade City, FL 33525-4904 - Phone
- (352) 521-3011
- Fax
- (352) 521-7163
- NPI assigned
- Jan 21, 2006
- Last updated
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2393 | FL | Primary |
Addresses
Primary practice location
13940 7TH St
Dade City, FL 33525-4904
Mailing address
13940 7TH St
Dade City, FL 33525-4904
Phone (352) 521-3011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20246 | Other | FL | BCBS |
| 4609006 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Associates of Florida, P.a. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Dade City, FL
- NPI 1598981565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1245210483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13940 7TH ST",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254904",
"telephone_number": "352-521-3011",
"fax_number": "352-521-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13940 7TH ST",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254904",
"telephone_number": "352-521-3011",
"fax_number": "352-521-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMURR",
"first_name": "BRADLEY",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20246",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4609006",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.