Individual provider Active NPI

James Preston Smith, OD

  • Optometrist
  • Selmer, TN
National Provider Identifier
1437138492
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD000457 Issued in TN
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
410030549OtherTNRAILROAD MEDICARE
3518138MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000213 TN Practitioner - Optometry 9830133206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as group
Quality
97.83
Improvement activities
40
Cost
76.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD000457TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Eye Clinic, PC CurrentSince Nov 1, 1992 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

  • FHIR API: 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

Verify at the official NPI Registry.