Individual provider Active NPI

Janice Fan Smith, OD

  • Optometrist
  • Milwaukee, WI
National Provider Identifier
1740664705
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3391-35 Issued in WI
Practice address
3925 S 76TH St
Milwaukee, WI 53220-2320
Phone
(414) 543-2900
NPI assigned
Jul 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3391-35 WI Primary

Addresses

Primary practice location

3925 S 76TH St
Milwaukee, WI 53220-2320

Mailing address

3925 S 76TH St
Milwaukee, WI 53220-2320
Phone (504) 495-3887

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3391-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fancy Seeing You, LLC Optometrist Current Accepting new patients
Kind Optical Inc Optometrist CurrentSince Jun 18, 2023 Accepting new patients
414 Eyes Optometrist CurrentSince Jun 18, 2023 Accepting new patients

Locations

3925 S 76th St
Milwaukee, WI 53220
Phone (414) 543-2900

Organizations & group practices 3

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": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1740664705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202320",
            "telephone_number": "504-495-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202320",
            "telephone_number": "414-543-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN SMITH",
        "first_name": "JANICE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3391-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.