Individual provider Active NPI

Regine Raymonde Smet, O.D.

  • Optometrist
  • Cypress, CA
National Provider Identifier
1669533386
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9701T Issued in CA
Practice address
5401 Katella Ave
Cypress, CA 90720-2809
Phone
(714) 995-5725
Fax
(714) 761-5797
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT9701TPG CA
Optometrist 152W00000X OPT 9701T CA Primary

Addresses

Primary practice location

5401 Katella Ave
Cypress, CA 90720-2809

Mailing address

11792 Silver Fox Rd
Los Alamitos, CA 90720-4222
Phone (310) 702-8782

Other practice location 1

2901 Los Feliz Blvd
Los Angeles, CA 90039-1502
Phone (323) 660-0199

Other identifiers 2

IdentifierTypeStateIssuer
11145OtherCASPECTERA PROVIDER NUMBER
27903OtherCASPECTERA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT 9701TCAMDOptometrist
OPT9701TPGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Regine Smet, O.D., Inc Optometrist CurrentSince Nov 15, 2020 Accepting new patients

Locations

5401 Katella Ave
Cypress, CA 90720
Phone (562) 668-5153

2901 Los Feliz Blvd
Los Angeles, CA 90039
Phone (323) 644-5201

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1669533386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11792 SILVER FOX RD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204222",
            "telephone_number": "310-702-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 KATELLA AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "907202809",
            "telephone_number": "714-995-5725",
            "fax_number": "714-761-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Los Feliz Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900391502",
            "country_code": "US",
            "telephone_number": "323-660-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMET",
        "first_name": "REGINE",
        "middle_name": "RAYMONDE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9701TPG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9701T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA PROVIDER NUMBER",
            "identifier": "11145",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA PROVIDER NUMBER",
            "identifier": "27903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.