Active NPI
Rob Smith
- Optician
- Port Huron, MI
National Provider Identifier
1255474128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 736 Lapeer Avenue
Port Huron, MI 48060-4410 - Phone
- (810) 982-4451
- Fax
- (810) 982-8539
- NPI assigned
- Feb 14, 2007
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
736 Lapeer Avenue
Port Huron, MI 48060-4410
Mailing address
736 Lapeer Avenue
Port Huron, MI 48060-4410
Phone (810) 982-4451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5406410540 | Other | BCBS |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rob Smith | Optician | Current | Accepting new patients |
Locations
736 Lapeer Ave
Port Huron, MI 48060
Phone (810) 982-4451
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.
-
- Optician
- Port Huron, MI
- NPI 1124297338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1255474128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 LAPEER AVENUE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480604410",
"telephone_number": "810-982-4451",
"fax_number": "810-982-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 LAPEER AVENUE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480604410",
"telephone_number": "810-982-4451",
"fax_number": "810-982-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5406410540",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.