Individual provider Active NPI

Anthony Joseph Smith, O.D.

  • Optometrist
  • Jonesville, MI
National Provider Identifier
1962631002
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4600 Issued in MI
Practice address
461 Olds St
Jonesville, MI 49250-9433
Phone
(517) 849-9277
Fax
(517) 849-2134
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4600 MI Primary

Addresses

Primary practice location

461 Olds St
Jonesville, MI 49250-9433

Mailing address

461 Olds St
Jonesville, MI 49250-9433
Phone (517) 849-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110512000540 MI Practitioner - Optometry 6800933607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

461 Olds St
Jonesville, MI 49250-9433
Phone (517) 849-9277

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4600MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Biddle O.D., P.C., Inc Optometrist CurrentSince Mar 1, 2013 Accepting new patients
Eye Care West, P.C. Optometrist PastSince Dec 14, 2006 Accepting new patients
Smith'S Family Eye Care Optometrist Past Accepting new patients

Locations

461 Olds St
Jonesville, MI 49250
Phone (517) 849-9277

Interoperability endpoints

  • Direct secure messaging: dr_smith@jec.direct.eyemdemr.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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1962631002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509433",
            "telephone_number": "517-849-9277",
            "fax_number": "517-849-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509433",
            "telephone_number": "517-849-9277",
            "fax_number": "517-849-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

Verify at the official NPI Registry.