Active NPI
Tiffany Tyler Smart, OD
- Optometrist
- Morro Bay, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12647
- Practice address
- 590 Harbor St
Morro Bay, CA 93442-1904 - Phone
- (805) 772-1269
- Fax
- (805) 772-2172
- NPI assigned
- Jan 30, 2006
- Last updated
- Jan 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12647 | CA | Primary |
Addresses
Primary practice location
590 Harbor St
Morro Bay, CA 93442-1904
Mailing address
590 Harbor St
Morro Bay, CA 93442-1904
Phone (805) 772-1269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD01264701 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 W Central Ave
Suite 102
Lompoc, CA 93436-2806
Phone (805) 736-2020
437 Marsh St
San Luis Obispo, CA 93401-3822
Phone (805) 925-2637
590 Harbor St
Morro Bay, CA 93442-1904
Phone (805) 772-1269
689 Tank Farm Rd
Suite 100
San Luis Obispo, CA 93401-7078
Phone (805) 781-3937
910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone (805) 925-2637
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 97.86
- Improvement activities
- 40
- Cost
- 75.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12647 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Eyecare Medical Group a Medical Corporation | Optometrist | Current | Accepting new patients |
| San Luis Obispo Eye Associates, a Medical Group Inc | Optometrist | Current | Accepting new patients |
| Elite Eyecare Medical Group a Medical Corporation | Optometrist | Current | Accepting new patients |
| San Luis Obispo Eye Associates, a Medical Group Incorporated | Optometrist | Current | Accepting new patients |
| Elite Eyecare Medical Group a Medical Corporation | Current | Accepting new patients |
Locations
425 W Central Ave
Ste 102
Lompoc, CA 93436
Phone (805) 736-2020
590 Harbor St
Morro Bay, CA 93442
Phone (805) 772-1269
910 E Stowell Rd
Santa Maria, CA 93454
Phone (805) 925-2637
689 Tank Farm Rd
Ste 100
Sn Luis Obisp, CA 93401
Phone (805) 781-3637
234 Heather Ct
Ste 102
Templeton, CA 93465
Phone (805) 434-5970
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tiffany.smart@direct.shepardeye.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kendall Optometry
- Optometrist
- Lompoc, CA
- NPI 1437117231
-
- Ophthalmology Physician
- Templeton, CA
- NPI 1366409898
Optometrist
-
- Optometrist
- Morro Bay, CA
- NPI 1477790301
-
dba Shepard Eye Center
- Optometrist
- Solvang, CA
- NPI 1356763759
-
dba SLO Laski and Cataract
- Ophthalmology Physician
- San Luis Obispo, CA
- NPI 1760982300
-
- Ophthalmology Physician
- San Luis Obispo, CA
- NPI 1548311061
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1619948304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 HARBOR ST",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934421904",
"telephone_number": "805-772-1269",
"fax_number": "805-772-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 HARBOR ST",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934421904",
"telephone_number": "805-772-1269",
"fax_number": "805-772-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "TIFFANY",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD01264701",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morro Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.