Active NPI
James Preston Smith, OD
- Optometrist
- Selmer, TN
National Provider Identifier
1437138492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD000457
- Practice address
- 138 W Houston
Selmer, TN 38375 - Phone
- (731) 645-7255
- Fax
- (731) 645-8047
- NPI assigned
- Jan 10, 2006
- Last updated
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD000457 | TN | Primary |
Addresses
Primary practice location
138 W Houston
Selmer, TN 38375
Mailing address
138 W Houston
Selmer, TN 38375
Phone (731) 645-7255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410030549 | Other | TN | RAILROAD MEDICARE |
| 3518138 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.16 of 100
- Quality
- 97.83
- Improvement activities
- 40
- Cost
- 76.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD000457 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Eye Clinic, PC | Current | Accepting new patients | |
| Skyline Eye Clinic, PC | Optometrist | Past | Accepting new patients |
Locations
138 S Washington Ave
Henderson, TN 38340
Phone (731) 989-3511
668 Skyline Dr
Jackson, TN 38301
Phone (731) 424-1414
138 Houston Ave
Selmer, TN 38375
Phone (731) 645-7255
Interoperability endpoints
- https://app.meldrx.com/api/fhir/t5x2d7ew
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1437138492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 W HOUSTON",
"city": "SELMER",
"state": "TN",
"postal_code": "38375",
"telephone_number": "731-645-7255",
"fax_number": "731-645-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 W HOUSTON",
"city": "SELMER",
"state": "TN",
"postal_code": "38375",
"telephone_number": "731-645-7255",
"fax_number": "731-645-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "PRESTON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD000457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410030549",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3518138",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selmer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.