Individual provider Active NPI

Mercedes Delgaudio Smith, OD

  • Optometrist
  • Springfield, VT
National Provider Identifier
1861017253
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0133928 Issued in VT
Practice address
2 Summer St
Springfield, VT 05156-3501
Phone
(802) 885-4190
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0133928 VT Primary

Addresses

Primary practice location

2 Summer St
Springfield, VT 05156-3501

Mailing address

2 Summer St
Springfield, VT 05156-3501
Phone (802) 885-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20201014002283 VT Practitioner - Optometry 3779903646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Summer St
Springfield, VT 05156-3501
Phone (802) 885-4190

463 Main St
Bennington, VT 05201-3041
Phone (802) 442-0781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.0133928VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Axismeridian Inc Optometrist CurrentSince Jan 4, 2025 Accepting new patients
Afterimage Inc. Optometrist CurrentSince May 16, 2020 Accepting new patients

Locations

463 Main St
Bennington, VT 05201
Phone (802) 442-0781

2 Summer St
Springfield, VT 05156
Phone (802) 885-4190

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1861017253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563501",
            "telephone_number": "802-885-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563501",
            "telephone_number": "802-885-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MERCEDES",
        "middle_name": "DELGAUDIO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

Verify at the official NPI Registry.