Individual provider Active NPI

Jeffrey Alan Smrkovski, OD

  • Optometrist
  • Claremont, NH
National Provider Identifier
1366634412
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0807 Issued in NH
Practice address
63 Pleasant St
Claremont, NH 03743-2605
Phone
(603) 543-3125
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0807 NH Primary

Addresses

Primary practice location

63 Pleasant St
Claremont, NH 03743-2605

Mailing address

63 Pleasant St.
Claremont, NH 03743-2426
Phone (603) 543-3125

Other identifiers 3

IdentifierTypeStateIssuer
09Y012566NH01OtherNHANTHEM
RE2747OtherNHGROUP PTN
30356081MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20071002000123 NH Practitioner - Optometry 7618062993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
JSTS PLLCGroup PAC ID 0941369334, 2 clinicians

Practice addresses (Care Compare)

63 Pleasant St
Claremont, NH 03743-2605
Phone (603) 543-3125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0807NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JSTS PLLC Optometrist CurrentSince Aug 1, 2008 Accepting new patients
Keene Vision Limited Partnership Optometrist PastSince Jun 28, 2020 Accepting new patients
Reed Optical, Inc PastSince Aug 1, 2008 Accepting new patients
Dexton Corporation Optometrist PastSince Jan 2, 2007 Accepting new patients

Locations

63 Pleasant St
Claremont, NH 03743
Phone (603) 543-0300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1366634412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PLEASANT ST.",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432426",
            "telephone_number": "603-543-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PLEASANT ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432605",
            "telephone_number": "603-543-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMRKOVSKI",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "09Y012566NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTN",
            "identifier": "RE2747",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30356081",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

Verify at the official NPI Registry.