Brenda Dani Smoke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003315 Issued in MI

Practice address

400 E Front St Ste a
Buchanan, MI 49107-1403

Phone

(269) 695-3434

Fax

(269) 695-2656

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Bradley P. Mundy, O.D., PLLCGroup PAC ID 7214344373, 4 clinicians

Practice addresses (Care Compare)

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.

• Dr. Bradley P. Mundy, O.D., PLLC

  dba Smoke Vision Care

  • Optometrist
  • Buchanan, MI
  • NPI 1841875531
  Medicare reassignment Care Compare group NPD
• DRS Steven and Brenda Smoke OD PC

  dba Smoke Family Vision Center

  • Optometrist
  • Dowagiac, MI
  • NPI 1306998323
  NPD (past) Authorized official
• DRS Steven and Brenda Smoke OD PC

  dba Smoke Family Vision Center

  • Optometrist
  • Buchanan, MI
  • NPI 1851443956
  Authorized official Same address or phone

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306998919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E FRONT ST STE A",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071403",
            "telephone_number": "269-695-3434",
            "fax_number": "269-695-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E FRONT ST STE A",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071403",
            "telephone_number": "269-695-3434",
            "fax_number": "269-695-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOKE",
        "first_name": "BRENDA",
        "middle_name": "DANI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P88602",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP PROVIDER",
            "identifier": "003740A3315",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy B Parke D.O. (Buchanan Family Medical Center)
• Arlene Mae Saliba El Habre, N.P.
• Sandra L Schneider, PH.D
• Angela M Scoggin, LMFT, MAPSY
• Susan Jayne Smith, PA
• Steven Alan Smoke, O.D.
• Snyder Therapy & Wellness
• Megan Snyder, LMSW; LISW-S
• Southwest Vision Center Inc.
• Barbara A Starke, RN, MSN, FNP

• Optometrist in Buchanan, MI
• Providers in Buchanan, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.