Jessica Faye Sirak-Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1260 Issued in SC

Practice address

80 Baylor Dr Ste 104
Bluffton, SC 29910-8903

Phone

(843) 706-3022

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael Allen Campbell, O.D.

  • Optometrist
  • Hilton Head Island, SC
  • NPI 1306839881
  Medicare reassignment
• Dr. Michael a. Campbell

  • Clinic/Center
  • Hilton Head Island, SC
  • NPI 1629276605
  NPD (past)
• Optical Solutions

  • Eyewear Supplier
  • Hilton Head Island, SC
  • NPI 1609915172
  NPD (past)
• J. Annette Parker-Herriott, O.D., P.C,.

  dba EnVision Eye Care - Dr. J. A. Parker & Associates

  • Optometrist
  • Savannah, GA
  • NPI 1902097066
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1508814252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BAYLOR DR STE 104",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108903",
            "telephone_number": "843-706-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BAYLOR DR STE 104",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108903",
            "telephone_number": "843-706-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAK-SMITH",
        "first_name": "JESSICA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2053",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000195",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920135949A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID, GROUP",
            "identifier": "DA9560",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DG2053",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SC2493E499",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily R Simpson, PA-C
• Marguerite Simpson, AST BEHAVIOR ANALYST
• Steven Kyle Sims, H.I.S.
• Sreshtha Singh, D.O.
• De'Ovon Singleton, COTA/L
• Megan M Sisson, P.T.
• SJC Oncology Services-South Carolina, LLC
• Laura Ann Skotleski, OTR/L
• Sleep Better SC, LLC (Sleep Better South Carolina)
• Savanna Smallwood-Corcoran

• Optometrist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.