Todd R. Smith

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4713T Issued in TX

Legal business name

TODD R. SMITH

Practice address

2030 Texas St
Vernon, TX 76384-4450

Phone

(940) 552-2204

Fax

(940) 552-2210

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Ripley Smith, O.D.

Title

Owner

Phone

(940) 552-2204

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Todd Ripley Smith, O.D.

  • Optometrist
  • Vernon, TX
  • NPI 1528153202

  O20100930062148

  Same enrollment

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1356475438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 HOUSTON ST",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763847715",
            "telephone_number": "940-552-2204",
            "fax_number": "940-552-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 TEXAS ST",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844450",
            "telephone_number": "940-552-2204",
            "fax_number": "940-552-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD R. SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "RIPLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-552-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "4713T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E34Z",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113303501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katrina Elaine Trejo
• Terri Lee Tuck, MSSW, LCSW
• United Supermarkets LLC
• Jennifer Varela
• Vani Velamati, M.D

• Durable Medical Equipment & Medical Supplies in Vernon, TX
• Providers in Vernon, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.