Thomas E Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002065B Issued in IN

Practice address

707 W Tipton St
Seymour, IN 47274-2157

Phone

(812) 524-3937

Fax

(812) 524-8647

NPI assigned

Jan 17, 2006

Last updated

Aug 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Conner Smith Eye Center PC

  • Optometrist
  • Seymour, IN
  • NPI 1114906427

  O20100930090981

  Same enrollment

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1780664839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742157",
            "telephone_number": "812-524-3937",
            "fax_number": "812-524-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742157",
            "telephone_number": "812-524-3937",
            "fax_number": "812-524-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002065B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100140550A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410036773",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Smith, HSPP
• Donald James Smith, HIS, MBA
• Emma Smith
• Heather Nichole Smith
• Heidi Susanna Smith, LMHCA
• Pamela Harting Snook-Tidd, MD
• Jennifer Lynn Snow, FNP
• Lisa Marie Lindsay Snow, DO
• Allison Snyder, RBT
• Ahmad Soliman, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.