Timothy J. Smith, O.D.,P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TIMOTHY J. SMITH, O.D.,P.C.

Practice address

112A Westwoods Dr
Liberty, MO 64068-1181

Phone

(816) 781-2220

Fax

(816) 781-2854

NPI assigned

Sep 17, 2007

Last updated

Sep 17, 2007By 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

Dr. Timothy J. Smith, O.D.NPI 1841224987

Title

Optometrist

Phone

(816) 781-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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.

• Timothy John Smith, O.D.

  • Optometrist
  • Liberty, MO
  • NPI 1841224987
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1649466392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112A WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681181",
            "telephone_number": "816-781-2220",
            "fax_number": "816-781-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112A WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681181",
            "telephone_number": "816-781-2220",
            "fax_number": "816-781-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. SMITH, O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "816-781-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "13006021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleigh Thompson
• Amanda K Thornton, MD
• Kyle Scott Thorsen
• Avrie Tigges
• Steven Michael Timmer, DC
• Timothy R McMullen DC PC (McMullen Chiropractic Center, PC)
• Tinsley & Shultz DDS PC
• William S. Tinsley, D.D.S.
• Alexander Joseph Tison
• Heidi Marie Tolnai, L.P.C.

• Optometrist in Liberty, MO
• Providers in Liberty, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.