Individual provider Active NPI

Jennifer Lynn Smith, O.D.

  • Optometrist
  • Wooster, OH
National Provider Identifier
1285898619
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5806 Issued in OH
Practice address
1651 Beall Ave
Wooster, OH 44691-2347
Phone
(330) 345-8076
NPI assigned
Jul 15, 2008
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5806 OH Primary

Addresses

Primary practice location

1651 Beall Ave
Wooster, OH 44691-2347

Mailing address

1651 Beall Ave
Wooster, OH 44691-2347
Phone (330) 345-8076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090630000085 OH Practitioner - Optometry 1153472352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

631 N Union St
Loudonville, OH 44842-1074
Phone (419) 994-3071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lookingglass Eyecare Professionals, LLC Optometrist Current Accepting new patients
Looking Glass Eyecare Professionals LLC Optometrist CurrentSince Jun 11, 2009 Accepting new patients
Wilson Optical & Hearing Centre, Inc. Past Accepting new patients

Locations

631 N Union St
Loudonville, OH 44842
Phone (419) 994-3071

114 E Liberty St
Wooster, OH 44691
Phone (330) 345-8076

1651 Beall Ave
Wooster, OH 44691
Phone (330) 345-8076

Organizations & group practices 3

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1285898619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912347",
            "telephone_number": "330-345-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912347",
            "telephone_number": "330-345-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.