Brian Darrell Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2728 Issued in WI

Practice address

1301 County Road G
Milltown, WI 54858-2915

Phone

(715) 825-3974

NPI assigned

Jun 9, 2006

Last updated

Jul 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WI

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

Specialty

Optometry

Education

Southern College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siren Family Eyecare LLCGroup PAC ID 5395846802, 2 clinicians

Osceola Family Eyecare LLCGroup PAC ID 5991980633, 2 clinicians

St. Croix Tribal CouncilGroup PAC ID 1153369350, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Osceola Family Eyecare LLC

  dba Osceola Family Eyecare

  • Optometrist
  • Osceola, WI
  • NPI 1578865747
  Medicare reassignment Care Compare group NPD Authorized official
• Siren Family Eyecare, LLC

  • Optometrist
  • Siren, WI
  • NPI 1063616571
  Medicare reassignment Care Compare group NPD Authorized official
• St. Croix Tribal Council

  • Federally Qualified Health Center (FQHC)
  • Webster, WI
  • NPI 1831170091
  Medicare reassignment Care Compare group NPD
• Rice Lake Family Eyecare, LLC

  • Optometrist
  • Rice Lake, WI
  • NPI 1649507062
  NPD (past)
• Smith Vision Center, Optometrists LLC

  • Optometrist
  • Milltown, WI
  • NPI 1477741601
  NPD (past)
• St. Croix Tribal Council

  dba St. Croix Tribal Behavioral Health Clinic

  • Addiction (Substance Use Disorder) Counselor
  • Webster, WI
  • NPI 1346233350
  NPD (past)
• Eyecare Center Optometrist PSC

  • Optometrist
  • Irvine, KY
  • NPI 1700072253
  NPD (past)
• Eyecare Center Optometrist PSC

  • Optometrist
  • Richmond, KY
  • NPI 1851384960
  NPD (past)
• Javen D. Holm OD PA

  dba Family Eye Care

  • Optometrist
  • Fairmont, MN
  • NPI 1093874364
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1366483612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COUNTY ROAD G",
            "city": "MILLTOWN",
            "state": "WI",
            "postal_code": "548582915",
            "telephone_number": "715-825-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COUNTY ROAD G",
            "city": "MILLTOWN",
            "state": "WI",
            "postal_code": "548582915",
            "telephone_number": "715-825-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Houman
• Tatum M Kline, MT-BC
• Cindy Korkowski
• Rock Ridge Retreat Nonstock Corporation (Rock Ridge Retreat)
• Smith Vision Center, Optometrists LLC
• Theresa Clare Swager
• Western Wisconsin Emergency Medical Services Company
• Vicky Lynn Wheeler, COTA

• Optometrist in Milltown, WI
• Providers in Milltown, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.

Verify at the official NPI Registry.