DRS Steven and Brenda Smoke OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

04901003315 Issued in MI

Legal business name

DRS STEVEN AND BRENDA SMOKE OD PC

Doing business as

Smoke Family Vision Center

Practice address

400 E Front St
Suite a
Buchanan, MI 49107-1403

Phone

(269) 695-3434

Fax

(269) 695-2656

NPI assigned

Jan 17, 2007

Last updated

Aug 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda D Smoke, O.D.NPI 1306998919

Title

Vice President

Phone

(269) 695-3434

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smoke Family Vision Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Dani Smoke, O.D.

  • Optometrist
  • Buchanan, MI
  • NPI 1306998919
  Authorized official Same address or phone

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1851443956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E FRONT ST",
            "address_2": "SUITE A",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071403",
            "telephone_number": "269-695-3434",
            "fax_number": "269-695-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E FRONT ST",
            "address_2": "SUITE A",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071403",
            "telephone_number": "269-695-3434",
            "fax_number": "269-695-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS STEVEN AND BRENDA SMOKE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "SMOKE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "269-695-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "04901003315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI GROUP PIN",
            "identifier": "900A100180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smoke Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Duane Coffen, PH.D.
• Hannah Mykel Cook, BA, MA, LLMFT, LLPC
• Christine Copeland
• Cynthia Papendick Aprn BC Inc
• Dr. Bradley P. Mundy, O.D., PLLC (Smoke Vision Care)
• Peggy May Emral
• Fellows Counseling & Consulting
• Rebecca Florey
• Diane Marie Ford, APRN
• Siobhan Garrity

• Optometrist in Buchanan, MI
• Providers in Buchanan, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.