Jeffery W. Smith, O.D., MBA

Primary specialty

OptometristTaxonomy code 152W00000X

License

46007637 Issued in IL

Practice address

285 W 74TH PL
Hialeah, FL 33014-5058

Phone

(305) 557-9004

Fax

(305) 362-2885

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Eyecare Associates of Illinois PC

  • Optometrist
  • Oakbrook Terrace, IL
  • NPI 1083759302
  Authorized official Same address or phone
• For Eyes

  • Optometrist
  • Chicago, IL
  • NPI 1700946712
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356426878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W 74TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145058",
            "telephone_number": "305-557-9004",
            "fax_number": "305-362-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 74TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145058",
            "telephone_number": "305-557-9004",
            "fax_number": "305-362-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFERY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D., MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46007637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Dental Group
• Smile Perfect Dental Health II
• Alessandra Smith, LMHC
• Annia Smith
• George Louis Smith, REGISTERED NURSE
• Marc C Smith, DNP, CRNA
• Massiel Snow, PSY.D.
• Soar Community Mental Health Center Inc
• Soar Community Mental Health Center Inc (Soar Medical Group Corp)
• Soar Community Mental Health Center Inc

• Optometrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Optometrist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.