Kristina H. Smith OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN3141 Issued in TN

Legal business name

KRISTINA H. SMITH OD PLLC

Doing business as

Northgate Vision Associates

Practice address

314 Northgate Mall
Chattanooga, TN 37415-6922

Phone

(423) 875-3060

Fax

(423) 877-2714

NPI assigned

Jan 27, 2016

Last updated

Jan 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Hixson Smith, ODNPI 1033543160

Title

Owner/Optometrist

Phone

(423) 618-0287

Specialties & licenses 1

Addresses

Other names 1

• Northgate Vision Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Hixson Smith, O.D.

  • Optometrist
  • Hixson, TN
  • NPI 1033543160
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1558728154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COTTONPORT RD",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215100",
            "telephone_number": "423-618-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NORTHGATE MALL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156922",
            "telephone_number": "423-875-3060",
            "fax_number": "423-877-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA H. SMITH OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "HIXSON",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "423-618-0287",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN3141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northgate Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew E Kreek Jr., MD
• Melissa Paris Kreidel
• Diana M Kreider, RN
• Daniel Krell, LMSW
• Matthew Adam Kreth, M.D.
• Angela Carrie Ruth Kruck
• Brittni Krumrie
• Rachel Krumrie
• Michelle Renee Krupke
• Jennifer Lei Kube, BCBA

• Optometrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.

Verify at the official NPI Registry.