Doctor Smith Eyecare PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3175 Issued in FL

Legal business name

DOCTOR SMITH EYECARE PA

Practice address

1890 NE Pine Island Rd
Cape Coral, FL 33909-1733

Phone

(239) 573-4742

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rodney J Smith, ODNPI 1639232762

Title

OD/Owner

Phone

(239) 573-4742

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Doctor Smith Eyecare PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Doctor Smith Eye Care PA

  • Optometrist
  • Cape Coral, FL
  • NPI 1538415054
  NPD tax ID

Practitioners 2

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

• Rodney J Smith, O.D.

  • Optometrist
  • Cape Coral, FL
  • NPI 1639232762
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Sue Green

  • Optometrist
  • Cape Coral, FL
  • NPI 1013063171
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1699182089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 NE PINE ISLAND RD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091733",
            "telephone_number": "239-573-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 NE PINE ISLAND RD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091733",
            "telephone_number": "239-573-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR SMITH EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "239-573-4742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OPC3175",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "152W00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.