Individual provider Active NPI

David Smith, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1871620138
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0DT640 Issued in TN
Practice address
10240 Kingston Pike
Knoxville, TN 37922
Phone
(865) 691-6348
Fax
(865) 691-7478
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0DT640 TN Primary

Addresses

Primary practice location

10240 Kingston Pike
Knoxville, TN 37922

Mailing address

10240 Kingston Pike
Knoxville, TN 37922
Phone (865) 691-6348

Other identifiers 1

IdentifierTypeStateIssuer
0736630001OtherTNPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101214001030 TN Practitioner - Optometry 9133316334 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Tennessee, HSC, College of Medicine, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10240 Kingston Pike
Knoxville, TN 37922-3221
Phone (865) 691-6348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
640TNMDRegistered Dietitian
0DT640TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Woolfson, MD, P.C. Past Accepting new patients
Jonathan Woolfson, MD, PC PastSince Apr 14, 2025 Accepting new patients

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1871620138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37922",
            "telephone_number": "865-691-6348",
            "fax_number": "865-691-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37922",
            "telephone_number": "865-691-6348",
            "fax_number": "865-691-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0DT640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0736630001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.