Active NPI
Jill Smith, OD, LLC
- Optometrist
- Kansas City, MO
National Provider Identifier
1548438872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03249
- Legal business name
- JILL SMITH, OD, LLC
- Doing business as
- Precision Optics
- Practice address
- 4181 Broadway St
Kansas City, MO 64111-2620 - Phone
- (816) 756-3577
- NPI assigned
- Feb 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Marie Smith, O.D.
- Title
- Optometrist
- Phone
- (816) 260-4892
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03249 | MO | Primary |
Addresses
Primary practice location
4181 Broadway St
Kansas City, MO 64111-2620
Mailing address
4181 Broadway St
Kansas City, MO 64111-2620
Phone (816) 756-3577
Other names 1
- Precision Optics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Kansas City, MO
- NPI 1760454730
-
- Optometrist
- Independence, MO
- NPI 1417572686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1548438872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4181 BROADWAY ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112620",
"telephone_number": "816-756-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4181 BROADWAY ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112620",
"telephone_number": "816-756-3577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILL SMITH, OD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "816-260-4892",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "T03249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Precision Optics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.