Individual provider Active NPI

April Dawn Svoboda Smith, OD

  • Optometrist
  • Siren, WI
National Provider Identifier
1861464307
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2729 Issued in WI
Practice address
24082 State Road 35
Siren, WI 54872
Phone
(715) 349-2733
Fax
(715) 349-2744
NPI assigned
Feb 7, 2006
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2729 WI Primary

Addresses

Primary practice location

24082 State Road 35
Siren, WI 54872

Mailing address

PO Box 290
Siren, WI 54872-0290
Phone (715) 825-3974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040402000594 WI Practitioner - Optometry 0143212464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siren Family Eyecare LLCGroup PAC ID 5395846802, 2 clinicians
Osceola Family Eyecare LLCGroup PAC ID 5991980633, 2 clinicians

Practice addresses (Care Compare)

24082 State Rd
Suite 35
Siren, WI 54872-4451
Phone (715) 349-2733

304 3Rd Ave E
Osceola, WI 54020-8185
Phone (715) 294-2500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2708MNMDPhysical Therapist
2729WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Siren Family Eyecare, LLC Optometrist CurrentSince Jun 1, 2007 Accepting new patients
Osceola Family Eyecare LLC Optometrist CurrentSince Jan 29, 2011 Accepting new patients
Javen D. Holm OD PA Optometrist Past Accepting new patients
Rice Lake Family Eyecare, LLC Optometrist PastSince Oct 19, 2009 Accepting new patients

Locations

304 3rd Ave
Osceola, WI 54020
Phone (715) 294-2500

24082 State Road 35
Siren, WI 54872
Phone (715) 294-2500

Organizations & group practices 4

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1861464307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548720290",
            "telephone_number": "715-825-3974",
            "fax_number": "715-349-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24082 STATE ROAD 35",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "54872",
            "telephone_number": "715-349-2733",
            "fax_number": "715-349-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA SMITH",
        "first_name": "APRIL",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siren, WI

Sources for this page

Verify at the official NPI Registry.