Individual provider Active NPI

Rachael Martha Smith, O.D.

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1821284613
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1286AZ Issued in AZ
Practice address
7780 W Arrowhead Towne Ctr
Glendale, AZ 85308-8612
Phone
(623) 978-7628
NPI assigned
Sep 14, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1286AZ AZ Primary

Addresses

Primary practice location

7780 W Arrowhead Towne Ctr
Glendale, AZ 85308-8612

Mailing address

6822 N 55TH Dr
Glendale, AZ 85301-3308
Phone (623) 293-1752

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
1286AZAZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Eyecare PLLC Optometrist Current Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients
Visionworks Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1821284613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 N 55TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013308",
            "telephone_number": "623-293-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 W ARROWHEAD TOWNE CTR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088612",
            "telephone_number": "623-978-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHAEL",
        "middle_name": "MARTHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1286AZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.