Individual provider Active NPI

Oscar Erik Smith, OD

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1376534065
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6355T Issued in CA
Practice address
175 Market PL
San Ramon, CA 94583-4741
Phone
(925) 275-0202
Fax
(925) 275-0447
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 6355T CA Primary

Addresses

Primary practice location

175 Market PL
San Ramon, CA 94583-4741

Mailing address

175 Market PL
San Ramon, CA 94583-4741
Phone (925) 275-0202

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6355TCAMDOptometrist
6355CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Eye Centers Medical Corporation Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: osmith@ebec.intellechartdirect.net
  • Direct secure messaging: direct@sanramonfamilyoptometrysanramonca.compulinkdirect.com

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1376534065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MARKET PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834741",
            "telephone_number": "925-275-0202",
            "fax_number": "925-275-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834741",
            "telephone_number": "925-275-0202",
            "fax_number": "925-275-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OSCAR",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6355T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.