Individual provider Active NPI

Jaycee Lynn Smith, OD

  • Optometrist
  • Mount Juliet, TN
National Provider Identifier
1720907843
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4021 Issued in TN
Practice address
401 S Mount Juliet Rd
Mount Juliet, TN 37122-6359
Phone
(615) 758-0874
Fax
(615) 245-6215
NPI assigned
Jul 13, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4021 TN Primary

Addresses

Primary practice location

401 S Mount Juliet Rd
Mount Juliet, TN 37122-6359

Mailing address

401 S Mount Juliet Rd
Mount Juliet, TN 37122-6359
Phone (615) 758-0874

Other practice location 1

2615 Medical Center Pkwy Ste 1765
Murfreesboro, TN 37129-3666
Phone (615) 907-0433

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

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1720907843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226359",
            "telephone_number": "615-758-0874",
            "fax_number": "615-245-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226359",
            "telephone_number": "615-758-0874",
            "fax_number": "615-245-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Medical Center Pkwy Ste 1765",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293666",
            "country_code": "US",
            "telephone_number": "615-907-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAYCEE",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.