Organization Active NPI

Dr. Smith's Eye Care & Optical LTD

  • Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1508104167
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
621000 Issued in LA
Legal business name
DR. SMITH'S EYE CARE & OPTICAL LTD
Practice address
12656 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone
(225) 751-4100
Fax
(225) 751-4103
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Daniel SmithNPI 1215022173
Title
Owner
Phone
(225) 751-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Clinic/Center 261Q00000X 621000 LA Primary

Addresses

Primary practice location

12656 Jefferson Hwy
Baton Rouge, LA 70816-6240

Mailing address

12656 Jefferson Hwy
Baton Rouge, LA 70816-6240
Phone (225) 751-4100

Other practice location 1

950 E Washington St
Baton Rouge, LA 70802-6622
Phone (225) 751-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130206000417 LA Part B Supplier - Clinic/Group Practice 5496909046 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2125829Dr Smith's Eye Care & Optical12656 Jefferson Highway, Baton Rouge, LA 70816Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

12656 Jefferson Hwy
Baton Rouge, LA 70816
Phone (225) 751-4100

12333 Jefferson Hwy
Ste I
Baton Rouge, LA 70816
Phone (225) 751-4100

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1508104167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166240",
            "telephone_number": "225-751-4100",
            "fax_number": "225-751-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166240",
            "telephone_number": "225-751-4100",
            "fax_number": "225-751-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708026622",
            "country_code": "US",
            "telephone_number": "225-751-4100",
            "fax_number": "225-256-3958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. SMITH'S EYE CARE & OPTICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-751-4100"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "621000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.