Individual provider Active NPI

Mariah Smith, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1669727293
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
730 Issued in NV
Practice address
6360 Mae Anne Ave
Suite 1
Reno, NV 89523-4732
Phone
(775) 787-9137
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60250939 WA
Optometrist 152W00000X 14394 CA
Optometrist 152W00000X 730 NV Primary

Addresses

Primary practice location

6360 Mae Anne Ave
Suite 1
Reno, NV 89523-4732

Mailing address

6360 Mae Anne Ave
Suite 1
Reno, NV 89523-4732
Phone (775) 787-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20120821000827 NV Practitioner - Optometry 1759538051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6360 Mae Anne Ave
Suite 1
Reno, NV 89523-4719
Phone (775) 323-3135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
730NVMDOptometrist
60250939WAMDOptometrist
14394CAMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Family Eye Care R Andrew Boren OD a Professional Corporation Optometrist CurrentSince Sep 6, 2013 Accepting new patients
Richard F Meier OD LTD Optometrist Past Accepting new patients

Locations

6360 Mae Anne Ave
Ste 1
Reno, NV 89523
Phone (775) 323-3135

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1669727293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 MAE ANNE AVE",
            "address_2": "SUITE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234732",
            "telephone_number": "775-787-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 MAE ANNE AVE",
            "address_2": "SUITE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234732",
            "telephone_number": "775-787-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARIAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60250939",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14394",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.