Justin Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35038 Issued in CA

Practice address

1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326

Phone

(559) 449-5010

Fax

(559) 449-5014

NPI assigned

Oct 8, 2021

Last updated

Oct 8, 2021By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fogg Remington Eyecare IncGroup PAC ID 7911993902, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.93 of 100Reported as group

Quality

87.98

Promoting interoperability

99

Improvement activities

40

Cost

62.98

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: justin.smith.p4@direct.californiaeye.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fogg Remington Eyecare Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1023070869
  Medicare reassignment Care Compare group NPD
• Fogg Remington Eyecare Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1437971082

  Optometrist

  NPD
• Fogg Remington Eyecare, Inc.

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1912960253

  Optometrist

  NPD
• Duane Y Nii MD Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1841302627
  NPD (past)
• Fogg Remington Eyecare, Inc.

  • Optometrist
  • Madera, CA
  • NPI 1255393955
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1790447530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5010",
            "fax_number": "559-449-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5010",
            "fax_number": "559-449-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Smith, MD
• Jervy William Smith, OD
• Juanita Rachel Smith, RN
• Julian Shane Smith, M.D.
• Juliana Janae Smith
• Katherine T Smith, CDE/NP
• Keshira De Jonae Smith, APCC 18691
• Lacey Angelina Smith, CCC-SLP
• Macy Smith
• Malik Smith

• Optometrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.