Dr Jonathan Smith LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

267 Issued in NV

Legal business name

DR JONATHAN SMITH LTD

Practice address

780 Northwood Blvd
Incline Village, NV 89451-8209

Phone

(775) 831-4131

Fax

(775) 831-4165

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Smith, O.D.NPI 1376681692

Title

President

Phone

(775) 831-4131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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.

• Jonathan Smith, OD

  • Optometrist
  • Incline Village, NV
  • NPI 1376681692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1689888992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NORTHWOOD BLVD",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518209",
            "telephone_number": "775-831-4131",
            "fax_number": "775-831-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NORTHWOOD BLVD",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518209",
            "telephone_number": "775-831-4131",
            "fax_number": "775-831-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JONATHAN SMITH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-831-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES TYPE I INDIVIDUAL NPI",
            "identifier": "1376681692",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Anne Courey, MD
• Christopher Delellis, ND
• Lauren Abbey Devalk
• Michael Shawn Dooley, LMT,MMP
• Valerie Dowdle
• Nicholas Duncan, DDS
• Everything Kids Pediatric Therapy Associates
• Anna Elizabeth Nicola Ferrera Baumann, M.D.
• Margaret Mary Feyge, OTR L
• Julie Anne Fontecchio, MS, CCC-SLP

• Optometrist in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.