Jonathan Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

267 Issued in NV

Practice address

780 Northwood Blvd
Incline Village, NV 89451-8209

Phone

(775) 831-4131

Fax

(775) 831-4165

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Southern California College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Jonathan Smith LTD

  • Optometrist
  • Incline Village, NV
  • NPI 1689888992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1376681692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NORTHWOOD BLVD",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518209",
            "telephone_number": "775-831-4131",
            "fax_number": "775-831-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NORTHWOOD BLVD",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518209",
            "telephone_number": "775-831-4131",
            "fax_number": "775-831-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES TYPE II ORGANIZATION/GROUP NPI",
            "identifier": "1689888992",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER",
            "identifier": "0177380002",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Scott
• Rodney Scott Shoemaker, DC
• Sierra Medical, LLC
• Vincenzo Sinatra, DC
• Pamela Louise Skeie, MFT MARRIAGE & FAMIL
• Rebecca L Stavis, PT
• Michael James Steiner, MS, ATC, EMS INSTRUC
• Anna Struemph
• Krispin N Sullivan, MS, CN, RN
• Norman Sussman, D.C.

• Optometrist in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.