Jacob Tyler Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2503 Issued in OK

Practice address

3720 W Robinson St
Suite 118
Norman, OK 73072-3657

Phone

(405) 447-5001

Fax

(405) 447-4680

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2006

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

Locations

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.

• Jacob T Smith OD PLLC

  dba Classic Vision

  • Optometrist
  • Norman, OK
  • NPI 1588807028
  Medicare reassignment NPD Authorized official
• Jacob T. Smith, O.D. PLLC

  • Eyewear Supplier
  • Norman, OK
  • NPI 1417185349
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1528170818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 W ROBINSON ST",
            "address_2": "SUITE 118",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723657",
            "telephone_number": "405-447-5001",
            "fax_number": "405-447-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W ROBINSON ST",
            "address_2": "SUITE 118",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723657",
            "telephone_number": "405-447-5001",
            "fax_number": "405-447-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ann Smith, CRNA
• Courtney Linn Smith, DNP, APRN, FNP-C
• Debra Luanne Luanne Smith, LPC
• Heather Smith, LPC
• Hunter M Smith, RBT
• Jeff R. Smith, RN, MS, MHR
• Jennifer Marie Smith, FNP
• Jessica Smith
• Jessica J Smith, MHR
• Katelyn Rose Smith, RD, LD

• Optometrist in Norman, OK
• Providers in Norman, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.