DRS Smith Smith and Maus PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRS SMITH SMITH AND MAUS PC

Practice address

914 Avenue G
Fort Madison, IA 52627-4530

Phone

(319) 372-5181

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry D Smith, ODNPI 1023083326

Title

President, Optometrist

Phone

(319) 372-5181

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DR L D SMITH & DR C R SMITH PC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Dean Smith, O.D.

  • Optometrist
  • Fort Madison, IA
  • NPI 1023083326
  NPD (past) Authorized official
• Carolyn Ruth Smith, O.D.

  • Optometrist
  • Fort Madison, IA
  • NPI 1578538245
  NPD (past)

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1841471315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 AVENUE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274530",
            "telephone_number": "319-372-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 AVENUE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274530",
            "telephone_number": "319-372-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SMITH SMITH AND MAUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT, OPTOMETRIST",
        "authorized_official_telephone_number": "319-372-5181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "09923",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099234",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR L D SMITH & DR C R SMITH PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mike J Crowell
• Cultivate Joy Psychiatry LLC
• Jonathan I Cutler, M.D.
• Calvin William Daack, OD
• David C. Wenger-Keller, MD
• DRS. Smith, Smith and Maus, PC
• Rebecca Mary Eaves, CADC
• Kara Renee Eid, PHARMD, RPH
• Scott Edward Ellison, RPH
• Empowerme Asl, LLC

• Optometrist in Fort Madison, IA
• Providers in Fort Madison, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.