Individual provider Active NPI

Levi Jacob Smith, OD

  • Optometrist
  • Morris, MN
National Provider Identifier
1497429815
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3788 Issued in MN
Practice address
400 E 1St St
Morris, MN 56267-1408
Phone
(320) 589-7673
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009435 NY
Optometrist 152W00000X 3788 MN Primary

Addresses

Primary practice location

400 E 1St St
Morris, MN 56267-1408

Mailing address

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20220617001316 MN Practitioner - Optometry 5799164976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians

Practice addresses (Care Compare)

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
82.21
Promoting interoperability
83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc. Current Accepting new patients
Rochester Family Eye Clinic LLC Optometrist CurrentSince Jun 3, 2022 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Oct 7, 2024 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Oct 7, 2024 Accepting new patients
Stevens Community Medical Center Inc Optometrist CurrentSince Dec 29, 2025 Accepting new patients

Locations

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

3630 11th Ave NW
Rochester, MN 55901
Phone (507) 288-2457

Interoperability endpoints

  • Direct secure messaging: lsmith825034@direct.centracare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1497429815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEVI",
        "middle_name": "JACOB",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009435",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

Verify at the official NPI Registry.