John R Smith, O.D., M.S.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

OEG000269 Issued in PA

Practice address

260 State St
Hamburg, PA 19526-1823

Phone

(610) 562-4548

Fax

(610) 562-1358

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John R Smith OD and Lori J Smith ODGroup PAC ID 1850419052, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• John R Smith OD and Lori J Smith OD

  • Optometrist
  • Hamburg, PA
  • NPI 1821261553

  Low Vision Rehabilitation

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1760426167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STATE ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261823",
            "telephone_number": "610-562-4548",
            "fax_number": "610-562-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STATE ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261823",
            "telephone_number": "610-562-4548",
            "fax_number": "610-562-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "O.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG000269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50003676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "679971",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha A Seitzinger, OTR/L
• Vipul Sharma, MD
• Andrew Shenoi, MD
• Tammy Renee Shilling, M.A. CCC-SLP
• Rachel Lynn Slavinski
• Lori J Smith, O.D.
• Tracy Anne Smith, R.N.
• Special Care Hospice, LLC
• Kathleen L Spess, L.P.C.
• St. Luke'S Hospital

• Low Vision Rehabilitation Optometrist in Hamburg, PA
• Providers in Hamburg, PA by specialty
• Low Vision Rehabilitation Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.