Individual provider Active NPI

Jeanne Marie Smithbauer, O.D.

  • Optometrist
  • Howell, MI
National Provider Identifier
1326138231
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003649 Issued in MI
Practice address
3850 E Grand River Ave
Howell, MI 48843-8593
Phone
(517) 548-9607
Fax
(517) 548-9609
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003649 MI Primary

Addresses

Primary practice location

3850 E Grand River Ave
Howell, MI 48843-8593

Mailing address

325 S Michigan Ave Unit 493
Howell, MI 48844-5018

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081121000754 MI Practitioner - Optometry 6709946601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howell Vision Center, Inc. Optometrist CurrentSince Oct 9, 2008 Accepting new patients
Howell Vision Center, Inc. Optometrist Past Accepting new patients

Locations

3850 E Grand River Ave
Howell, MI 48843
Phone (517) 548-9511

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1326138231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S MICHIGAN AVE UNIT 493",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488445018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438593",
            "telephone_number": "517-548-9607",
            "fax_number": "517-548-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHBAUER",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.