Individual provider Active NPI

Jessica Lynn Smith Drury, LDO

  • Optician
  • Blackshear, GA
National Provider Identifier
1376491555
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO002250 Issued in GA
Practice address
729 Jackson St
Blackshear, GA 31516-1331
Phone
(912) 284-1685
Fax
(912) 284-1075
NPI assigned
Mar 21, 2026
Last updated
Mar 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO002250 GA Primary

Addresses

Primary practice location

729 Jackson St
Blackshear, GA 31516-1331

Mailing address

729 Jackson St
Blackshear, GA 31516-1331
Phone (912) 284-1685

Other names 1

  • Jessica Lynn Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LDO002250GAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1774051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1376491555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 JACKSON ST",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161331",
            "telephone_number": "912-284-1685",
            "fax_number": "912-284-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 JACKSON ST",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161331",
            "telephone_number": "912-284-1685",
            "fax_number": "912-284-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH DRURY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-21",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SMITH",
            "middle_name": "LYNN",
            "credential": "LDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blackshear, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.