Bruce R Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001702B Issued in IN

Practice address

30 1St St SW
Carmel, IN 46032-2102

Phone

(317) 848-9081

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bruce R Smith OD PC

  • Optometrist
  • Crown Point, IN
  • NPI 1760541924
  NPD (past) Authorized official
• DRS. Lauck and McLean

  • Optometrist
  • Carmel, IN
  • NPI 1154691335
  NPD (past)
• Jeremy Ciano, PC

  • Optometrist
  • Carmel, IN
  • NPI 1629248554
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1730128844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15140 SMARTY JONES DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605666",
            "telephone_number": "219-776-6804",
            "fax_number": "219-663-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 1ST ST SW",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322102",
            "telephone_number": "317-848-9081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463073250",
            "country_code": "US",
            "telephone_number": "219-663-5960",
            "fax_number": "219-663-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRUCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18001702B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001702B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles in the Village LLC
• Ashli Rena Hanson Smiley, RN
• Katelyn Smiley, DO
• Lynda A Smirz, MD
• Alexis Smith, RBT
• Christi L Smith, MS, OTR
• Cynthia Smith
• David Allan Smith, D.D.S.
• Derek Smith, D.C
• Donald Ian Smith, M.D.

• Optometrist in Carmel, IN
• Providers in Carmel, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.