Organization Active NPI

Maren R Smithgall OD LLC

  • Optometrist
  • Morristown, NJ
National Provider Identifier
1346626561
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00625800 Issued in NJ
Legal business name
MAREN R SMITHGALL OD LLC
Practice address
25 South St
Morristown, NJ 07960-4137
Phone
(973) 538-5287
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Maren R Smithgall, O.D.
Title
Owner
Phone
(610) 216-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00625800 NJ Primary

Addresses

Primary practice location

25 South St
Morristown, NJ 07960-4137

Mailing address

32 Smith Rd
Denville, NJ 07834-9405

National Provider Directory

National Provider Directory

Locations

25 South St
Morristown, NJ 07960
Phone (610) 216-7727

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1346626561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SMITH RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078349405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604137",
            "telephone_number": "973-538-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREN R SMITHGALL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SMITHGALL",
        "authorized_official_first_name": "MAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-216-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00625800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.