Jacqueline R Smith
Optometrist in Waltham, Massachusetts
1508558024- Practice location
- 289 Moody St, Waltham, MA 02453-5284
- Phone
- 781-894-2127
- Fax
- —
- Last updated
- August 22, 2023
Jacqueline Rose Smith is an Optometrist based in Waltham, MA. Jacqueline Rose Smith practices in Waltham, MA. The NPI Number for Jacqueline Rose Smith is 1508558024 and holds a License No. 5620 (MA). The current practice location address for Jacqueline Rose Smith is 289 Moody St, Waltham, MA 02453-5284 and can be reached out via phone at 781-894-2127.
Provider Profile Details
- NPI Number
- 1508558024
- Provider Name
- Jacqueline Rose Smith
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 289 Moody St, Waltham, MA 02453-5284
- Phone Number
- 781-894-2127
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2023
- Last Update Date
- August 22, 2023
- Certification Date
- August 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 289 Moody St
Waltham, MA 02453-5284 - City
- Waltham
- State
- Massachusetts
- Zip
- 02453-5284
- Phone Number
- 781-894-2127
Provider Business Mailing Address Details
- Address
- 22 Sunnyhill RD
Lunenburg, MA 01462-1331 - City
- Lunenburg
- State
- MA
- Zip
- 01462-1331
- Phone Number
- 978-870-2770
License Information
- License Number
- 5620
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Phyllis Landman, ODOptometrist · NPI 1598881310
- Kristina Maggiacomo, RD, LDNDietitian, Registered · NPI 1700785227
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- Melissa A Heffron, NPRegistered Nurse · NPI 1912619545
Frequently Asked Questions
What is the NPI number of Jacqueline R Smith?
The NPI number of Jacqueline R Smith is 1508558024. It was assigned on May 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Jacqueline R Smith?
Jacqueline R Smith is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5620.
Where does Jacqueline R Smith practice?
The practice location is 289 Moody St, Waltham, MA 02453-5284. The office can be reached at 781-894-2127 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508558024 directly on the NPPES registry website.