Timothy J Smicker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OET008773 Issued in PA

Practice address

400 Butler CMNS
Butler, PA 16001-2496

Phone

(724) 282-4054

Fax

(724) 282-5645

NPI assigned

Nov 13, 2006

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Family Eyecare North, LLC

  • Optometrist
  • Seven Fields, PA
  • NPI 1023529104
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1952472433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SEATON CREST DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463063",
            "telephone_number": "724-504-2054",
            "fax_number": "724-504-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BUTLER CMNS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012496",
            "telephone_number": "724-282-4054",
            "fax_number": "724-282-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMICKER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "OETOO8773",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001601865",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Slupe
• Kristine Lynne Slupe, RPH
• Anthony Michael Smaldino Jr., DPM
• Luke Smallwood
• Olivia Smallwood
• Paige Marie Smietana, P.A.-C
• Craig Smith
• Cynthia Smith, LPC
• Dynelle Smith, PA-C
• Harry Clay Smith Jr.

• Optometrist in Butler, PA
• Providers in Butler, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.