Individual provider Active NPI

Michael L Smookler, O.D.

  • Vision Therapy Optometrist
  • Boston, MA
National Provider Identifier
1891820049
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
3546 Issued in MA
Practice address
101 State St
Boston, MA 02109-2908
Phone
(617) 742-3937
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 3546 MA Primary

Addresses

Primary practice location

101 State St
Boston, MA 02109-2908

Mailing address

101 State St
Boston, MA 02109-2908
Phone (617) 742-3937

Other identifiers 4

IdentifierTypeStateIssuer
152798OtherMAHARVARD HEALTH PLAN
0391921MedicaidMA
732742OtherMATUFTS HEALTH PLAN
W25180OtherMABLUE CROSS BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160614002446 MA Practitioner - Optometry 0345531729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Wellesley Eye Associates PCGroup PAC ID 1355361742, 14 clinicians

Practice addresses (Care Compare)

60 Walnut St
Suite 2
Wellesley, MA 02481-2103
Phone (617) 964-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Seniorlife Affiliated Medical Group Inc CurrentSince Jul 10, 2018 Accepting new patients
Newton Wellesley Eye Associates, P.C. CurrentSince Jun 25, 2018 Accepting new patients
Pratt Ophthalmology Associates Inc Past Accepting new patients

Locations

2000 Washington St
Ste 462
Newton Lower Falls, MA 02462
Phone (617) 332-6311

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

65 Walnut St
Ste 301
Wellesley Hills, MA 02481
Phone (617) 431-3237

60 Walnut St
Ste 2
Wellesley Hills, MA 02481
Phone (617) 964-1050

Interoperability endpoints

  • Direct secure messaging: smookler.michael.nwea@direct.partners.masshiway.net
  • Direct secure messaging: michael.smookler.1@8526.direct.athenahealth.com

Organizations & group practices 3

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891820049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092908",
            "telephone_number": "617-742-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092908",
            "telephone_number": "617-742-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOOKLER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MA",
            "license": "3546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HEALTH PLAN",
            "identifier": "152798",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391921",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "732742",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE",
            "identifier": "W25180",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.