Individual provider Active NPI

Dennis E Smith, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1609973163
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6051T Issued in TX
Practice address
10601 Ranch Road 2222
Ste. G
Austin, TX 78730-1134
Phone
(512) 343-2020
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6051T TX Primary

Addresses

Primary practice location

10601 Ranch Road 2222
Ste. G
Austin, TX 78730-1134

Mailing address

10601 Ranch Road 2222
Ste. G
Austin, TX 78730-1134
Phone (512) 343-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611001441 TX Practitioner - Optometry 4789667460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10601 Ranch Rd
2222 Suite G
Austin, TX 78730-1138
Phone (512) 343-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6051TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis E Smith OD PA Optometrist CurrentSince Sep 1, 2005 Accepting new patients
Parmer Eye Care P.C. Optometrist Past Accepting new patients

Locations

10601 Ranch Road 2222
Ste G
Austin, TX 78730
Phone (512) 343-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609973163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 RANCH ROAD 2222",
            "address_2": "STE. G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301134",
            "telephone_number": "512-343-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 RANCH ROAD 2222",
            "address_2": "STE. G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301134",
            "telephone_number": "512-343-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENNIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6051T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.