Individual provider Active NPI

Monique A Smyth, OD

  • Optometrist
  • Nashville, TN
National Provider Identifier
1376035576
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0000003570 Issued in TN
Practice address
2204 Crestmoor Rd
Nashville, TN 37215-2002
Phone
(615) 327-4015
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 0000003570 TN Primary

Addresses

Primary practice location

2204 Crestmoor Rd
Nashville, TN 37215-2002

Mailing address

2204 Crestmoor Rd
Nashville, TN 37215-2002
Phone (615) 327-4015

Other practice location 1

241 Corporate Blvd Ste 210
Norfolk, VA 23502-4965
Phone (757) 622-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180925004179 VA Practitioner - Optometry 6002167376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000003570TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Consultants Inc Optometrist CurrentSince Jul 17, 2018 Accepting new patients

Locations

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

Interoperability endpoints

  • Direct secure messaging: monique.smyth@toyosclinic.directbygreenway.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1376035576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 CRESTMOOR RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152002",
            "telephone_number": "615-327-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 CRESTMOOR RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152002",
            "telephone_number": "615-327-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Corporate Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024965",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "MONIQUE",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0000003570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.