Loren Donnell Smith OD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

07354TLG Issued in CA

Legal business name

LOREN DONNELL SMITH OD INC

Practice address

35149 Newark Blvd
Ste C
Newark, CA 94560-1209

Phone

(510) 796-3937

NPI assigned

Jan 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Loren Donnell Smith, OD

Title

Cmo/

Phone

(510) 796-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine F Ko, O.D.

  • Corneal and Contact Management Optometrist
  • Newark, CA
  • NPI 1811185523
  NPD (past)
• Jane C Liao, O.D.

  • Optometrist
  • Richmond, CA
  • NPI 1952443897
  NPD (past)
• Adam L Hickenbotham, OD

  • Optometrist
  • Provo, UT
  • NPI 1063462778
  NPD (past)

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1649692575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35149 NEWARK BLVD",
            "address_2": "STE C",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601209",
            "telephone_number": "510-796-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35149 NEWARK BLVD",
            "address_2": "STE C",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601209",
            "telephone_number": "510-796-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN DONNELL SMITH OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "DONNELL",
        "authorized_official_title_or_position": "CMO/",
        "authorized_official_telephone_number": "510-796-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "07354TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0073540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernando Lopez
• Gisselle Lopez
• Ivette Lopez
• Jennifer J Lopez
• Natalie Lopez
• Yvonne Lovato
• Lorena Janeth Lovrin
• Haidee Luc
• Diana Lulo Zuniga
• Lumina Companion Care Inc

• Clinic/Center in Newark, CA
• Providers in Newark, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.