The Eyesmith OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THE EYESMITH OD, PLLC

Practice address

159 Sunset Dr
Blowing Rock, NC 28605-7205

Phone

(828) 372-9225

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Maria Smith Johnson, ODNPI 1518994060

Title

Owner/Authorized Official

Phone

(336) 303-9587

Specialties & licenses 1

Addresses

Other names 2

• The EyeSmith LLC Doing business as
• The EyeSmith OD, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Maria Smith Johnson, OD

  • Optometrist
  • Greensboro, NC
  • NPI 1518994060
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1740960095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 GROUSE RUN RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077413",
            "telephone_number": "336-303-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SUNSET DR",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286057205",
            "telephone_number": "828-372-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYESMITH OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "336-303-9587",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The EyeSmith LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The EyeSmith OD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Moore Parker
• Physician Care Direct, LLC
• Lauren Power, LMFT
• Richard W Kitchell DDS PA
• John Tashner
• The Pediatric Group
• Emma Rose Van Gilder
• Donald Dwane Wynne, LCMHCS

• Optometrist in Blowing Rock, NC
• Providers in Blowing Rock, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.