Individual provider Active NPI

Amanda Nicole Smith, OD

  • Optometrist
  • Lawrenceburg, TN
National Provider Identifier
1891276622
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3480 Issued in TN
Practice address
726 N Locust Ave
Ste 2D
Lawrenceburg, TN 38464-2874
Phone
(931) 762-7226
Fax
(931) 762-1133
NPI assigned
Aug 29, 2018
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3480 TN Primary

Addresses

Primary practice location

726 N Locust Ave
Ste 2D
Lawrenceburg, TN 38464-2874

Mailing address

726 N Locust Ave
Ste 2D
Lawrenceburg, TN 38464-2874
Phone (931) 762-7226

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
I20190424001988 TN Practitioner - Optometry 7719229608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

726 N Locust Ave
Suite 2D
Lawrenceburg, TN 38464-2874
Phone (931) 762-7226

Merit-based Incentive Payment System (MIPS)

Final score
96.37 of 100Reported as individual
Quality
92.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3480TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Remke Group PC Optometrist CurrentSince Feb 24, 2019 Accepting new patients
Amanda Smith Optometry, PLLC Optometrist CurrentSince Aug 31, 2020 Accepting new patients

Locations

250 N Military Ave
Lawrenceburg, TN 38464
Phone (629) 255-2129

726 N Locust Ave
Ste 2D
Lawrenceburg, TN 38464
Phone (931) 762-7226

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, 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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1891276622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N LOCUST AVE",
            "address_2": "STE 2D",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642874",
            "telephone_number": "931-762-7226",
            "fax_number": "931-762-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N LOCUST AVE",
            "address_2": "STE 2D",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642874",
            "telephone_number": "931-762-7226",
            "fax_number": "931-762-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.