Active NPI
Monique A Smyth, OD
- Optometrist
- Nashville, TN
National Provider Identifier
1376035576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0000003570
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000003570 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Eye Consultants Inc | Optometrist | Current | Accepting new patients |
Locations
241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902
Interoperability endpoints
- monique.smyth@toyosclinic.directbygreenway.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.