Active NPI
Todd Ripley Smith, O.D.
- Optometrist
- Vernon, TX
National Provider Identifier
1528153202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4713T
- Practice address
- 1730 Houston St
Vernon, TX 76384-7715 - Phone
- (940) 552-2204
- Fax
- (940) 552-2210
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4713TG | TX | |
| Eyewear Supplier | 332H00000X | 4713TG | TX | |
| Optometrist | 152W00000X | 4713T | TX | Primary |
Addresses
Primary practice location
1730 Houston St
Vernon, TX 76384-7715
Mailing address
1730 Houston St
Vernon, TX 76384-7715
Phone (940) 552-2204
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113303501 | Medicaid | TX | |
| 1219280001 | Other | TX | PALMETTO GBA DMERC |
| 00E34Z | Other | TX | BCBS |
| 410038613 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Vernon, TX
- NPI 1356475438
O20100930062148
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1730 Houston St
Vernon, TX 76384-7715
Phone (940) 552-2204
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 68 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4713 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 4713T | TX | MD | Optometrist |
| 4713TG | TX | MD | Optometrist |
| 2168 | OK | MD | Occupational Therapy Assistant |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1528153202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 HOUSTON ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763847715",
"telephone_number": "940-552-2204",
"fax_number": "940-552-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 HOUSTON ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763847715",
"telephone_number": "940-552-2204",
"fax_number": "940-552-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TODD",
"middle_name": "RIPLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4713TG",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "TX",
"license": "4713TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4713T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113303501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA DMERC",
"identifier": "1219280001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00E34Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410038613",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.