Jennifer Stewart Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1894-830AT Issued in LA

Practice address

500 W McNeese St
Lake Charles, LA 70605-5528

Phone

(337) 474-6161

Fax

(337) 474-6474

NPI assigned

Jul 16, 2019

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Stewart Former name

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

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Boreing Vision Clinic Inc

  • Vision Therapy Optometrist
  • Lake Charles, LA
  • NPI 1770617342
  Medicare reassignment NPD Authorized official
• Falgoust Eye Medical and Surgical

  • Ophthalmology Physician
  • Lake Charles, LA
  • NPI 1649285040
  Medicare reassignment NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1255983557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 E DIETRICH LOOP",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057198",
            "telephone_number": "337-309-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055528",
            "telephone_number": "337-474-6161",
            "fax_number": "337-474-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "STEWART",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1894-830AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STEWART",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derrian Smith, PHARMD
• Gwendolyn Marie Smith, LCSW
• Hali Smith, DPT
• Hayley Brooke Smith
• Jairus James Matthew Smith, PHARM.D
• Jerrold Walker Smith, RPH
• Lauren Lebert Smith, PHARMD
• Leatha Michelle Smith, PA
• Marlena Smith
• Mary Fiona Hendry Smith

• Optometrist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.