Individual provider Active NPI

Todd Ripley Smith, O.D.

  • Optometrist
  • Vernon, TX
National Provider Identifier
1528153202
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4713T Issued in TX
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

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
113303501MedicaidTX
1219280001OtherTXPALMETTO GBA DMERC
00E34ZOtherTXBCBS
410038613OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100304000098 TX Practitioner - Optometry 8022153881 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon, TX
O20100930062148 TX DME Supplier - Physician - Optometrist 6507987229 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vernon, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

ProcedureNumber of procedures
Cataract surgery68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4713TXMDAddiction (Substance Use Disorder) Counselor
4713TTXMDOptometrist
4713TGTXMDOptometrist
2168OKMDOccupational 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

Verify at the official NPI Registry.