Robert Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

978 Issued in MS

Practice address

4721 26TH Ave
Meridian, MS 39305-4703

Phone

(601) 485-2020

Fax

(601) 581-1662

NPI assigned

Aug 23, 2018

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 MS

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

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Eyecare and Optical of Meridian, P.a.Group PAC ID 3577647064, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Primary Eyecare & Optical of Meridian, P.a.

  • Optometrist
  • Meridian, MS
  • NPI 1578757076
  Medicare reassignment Care Compare group NPD
• Primary Eyecare South LLC

  • Optometrist
  • Meridian, MS
  • NPI 1386252609
  NPD

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1851872303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 26TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393054703",
            "telephone_number": "601-485-2020",
            "fax_number": "601-581-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 26TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393054703",
            "telephone_number": "601-485-2020",
            "fax_number": "601-581-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerra Leigh Smith, LPC
• June Smith
• Kelly Harper Smith, LCSW
• Lauren Smith, LCSW
• Lucy Louise Smith
• Sara B Smith
• Sherren Smith, RN-BSN NURSE
• Tracy Smith
• Gabe Snow, PT
• James A. Snyder, D.O.

• Optometrist in Meridian, MS
• Providers in Meridian, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.