NPIMap

Organization Active NPI

Cameron E Smith, OD, PA

Doing business as TSO - Mansfield

  • Optometrist
  • Mansfield, TX
National Provider Identifier
1922203363
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5925TG Issued in TX
Legal business name
CAMERON E SMITH, OD, PA
Doing business as
TSO - Mansfield
Practice address
1650 Highway 287 N
Mansfield, TX 76063-8852
Phone
(682) 518-1177
NPI assigned
Jun 17, 2007
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Cameron E Smith, O.D.NPI 1043214018
Title
President
Phone
(682) 429-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5925TG TX Primary

Addresses

Primary practice location

1650 Highway 287 N
Mansfield, TX 76063-8852

Mailing address

1650 Highway 287 N
Mansfield, TX 76063-8852
Phone (682) 518-1177

Other names 1

  • TSO - Mansfield Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822001427 TX Part B Supplier - Clinic/Group Practice 3870685712 Receives reassigned benefits from 7 practitioners
Practice locations: Mansfield, TX

National Provider Directory

National Provider Directory

Locations

121 W Debbie Ln
Ste 117
Mansfield, TX 76063
Phone (682) 518-1177

1650 Highway 287 N
Mansfield, TX 76063
Phone (682) 518-1177

1669 S 9th St
Ste 200
Midlothian, TX 76065
Phone (972) 775-4040

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1922203363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HIGHWAY 287 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638852",
            "telephone_number": "682-518-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HIGHWAY 287 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638852",
            "telephone_number": "682-518-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON E SMITH, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-17",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-429-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5925TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSO - Mansfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.