Active NPI
Danielle R. Smith, O.D.
- Optometrist
- Buffalo, NY
National Provider Identifier
1316940661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT006402
- Practice address
- 64 Hager St
Buffalo, NY 14208-1327 - Phone
- (212) 764-0008
- NPI assigned
- May 31, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT006402 | NY | Primary |
Addresses
Primary practice location
64 Hager St
Buffalo, NY 14208-1327
Mailing address
267 Broadway FL 2
Brooklyn, NY 11211-6216
Phone (212) 764-0008
Other practice location 1
2469 State Route 19 N
Warsaw, NY 14569-9336
Phone (585) 786-2288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02188732 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
918 James St
Syracuse, NY 13203-2503
Phone (646) 921-1738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT006402 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Vision Optometry P.C. | Optometrist | Current | Accepting new patients |
Locations
228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
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 and National Provider Directory roles.
-
- Optometrist
- Staten Island, NY
- NPI 1851983654
-
- Optometrist
- Brooklyn, NY
- NPI 1336562644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1316940661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 BROADWAY FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112116216",
"telephone_number": "212-764-0008",
"fax_number": "585-786-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 HAGER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142081327",
"telephone_number": "212-764-0008"
}
],
"practiceLocations": [
{
"address_1": "2469 State Route 19 N",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "NY",
"postal_code": "145699336",
"country_code": "US",
"telephone_number": "585-786-2288",
"fax_number": "585-786-3699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "DANIELLE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT006402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02188732",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.