Tiffany Smart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12647 Issued in CA

Legal business name

TIFFANY SMART, O.D.

Practice address

590 Harbor St
Morro Bay, CA 93442-1904

Phone

(805) 772-1269

Fax

(805) 772-2172

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Tyler Smart, O.D.

Title

Doctor

Phone

(805) 772-1269

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1477790301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 HARBOR ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421904",
            "telephone_number": "805-772-1269",
            "fax_number": "805-772-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 HARBOR ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421904",
            "telephone_number": "805-772-1269",
            "fax_number": "805-772-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY SMART, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "805-772-1269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0126470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlen Tanner, RD
• Scott Taylor, DDS
• Camille Janique Thibodeaux
• Adela Cristina Thom, FNP-C
• Thrifty Payless Inc
• Bruce Trubo, D.D.S.
• Jerome Glenn Turner, D.D.S.
• Twins Bay Inc.
• Twins Bay, Inc. Dba Morro Bay Recovery
• Jennifer Myra Marie Van Beurden, R1464360322

• Optometrist in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.