Individual provider Active NPI

Trisha Marie Smith, O.D.

  • Optometrist
  • Perry, IA
National Provider Identifier
1255933669
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
101054 Issued in IA
Practice address
1313 2ND St
Perry, IA 50220-1511
Phone
(515) 465-4203
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 101054 IA Primary

Addresses

Primary practice location

1313 2ND St
Perry, IA 50220-1511

Mailing address

2316 SE 9TH LN Unit 21
Grimes, IA 50111-5193
Phone (641) 330-2465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20201207001759 IA Practitioner - Optometry 4385056894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates LLCGroup PAC ID 6507110590, 2 clinicians

Practice addresses (Care Compare)

1313 2ND St
Perry, IA 50220-1511
Phone (515) 465-4203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates LLC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Eye Care Associates PC Optometrist Past Accepting new patients

Locations

1313 2nd St
Perry, IA 50220
Phone (515) 465-4203

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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1255933669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SE 9TH LN UNIT 21",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501115193",
            "telephone_number": "641-330-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 2ND ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201511",
            "telephone_number": "515-465-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRISHA",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "101054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

Verify at the official NPI Registry.