Amanda Smith Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AMANDA SMITH OPTOMETRY, PLLC

Doing business as

Envision Eyecare and Eyewear

Practice address

726 N Locust Ave Ste 2D
Lawrenceburg, TN 38464-2874

Phone

(931) 762-7226

Fax

(931) 762-1133

NPI assigned

Jul 14, 2020

Last updated

May 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Gordon

Title

Billing Manager

Phone

(931) 762-7226

Specialties & licenses 1

Addresses

Other names 1

• Envision Eyecare and Eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Nicole Smith, OD

  • Optometrist
  • Lawrenceburg, TN
  • NPI 1891276622
  Medicare reassignment NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1467070656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N LOCUST AVE STE 2D",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642874",
            "telephone_number": "931-762-7226",
            "fax_number": "931-762-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N LOCUST AVE STE 2D",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642874",
            "telephone_number": "931-762-7226",
            "fax_number": "931-762-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA SMITH OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "931-762-7226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Eyecare and Eyewear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Envision Eyecare and Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.