DR. DENISE E. SMITH O.D.
NPI 1285643585
Optometrist - Vision Therapy in West Lake Hills, TX
NPI Status: Active since August 05, 2006
Contact Information
5656 BEE CAVE RD
SUITE D-201
WEST LAKE HILLS, TX
ZIP 78746
Phone: (512) 329-8900
Fax: (512) 329-8105
- Individual
- Female
- Optometrist
- Vision Therapy
- PECOS Enrolled
- Opted-Out Medicare
About DENISE SMITH
This page provides the complete NPI Profile along with additional information for Denise Smith, a provider established in West Lake Hills, Texas with a medical specialization in Optometrist, focusing in vision therapy . The healthcare provider is registered in the NPI registry with number 1285643585 assigned on August 2006. The practitioner's primary taxonomy code is 152WV0400X with license number 6050T (TX). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1285643585
- Provider Name
- DR. DENISE E. SMITH O.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5656 BEE CAVE RD SUITE D-201 WEST LAKE HILLS, TX 78746
- Location Phone
- (512) 329-8900
- Location Fax
- (512) 329-8105
- Mailing Address
- 5656 BEE CAVE RD SUITE D-201 WEST LAKE HILLS, TX 78746
- Mailing Phone
- (512) 329-8900
- Mailing Fax
- (512) 329-8105
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Denise Smith opted out of Medicare effective on 10-02-2019 until 10-02-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Vision Therapy
- Taxonomy Code
- 152WV0400X
- Type
- Eye and Vision Services Providers
- License No.
- 6050T
- License State
- TX
- Taxonomy Description
- Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Medicare Participation & PECOS Enrollment Status
Denise Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-02-2019
Opt-Out End Date: 10-02-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78746 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.95
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $32.98
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.95
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $17.98
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285643585, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
WEST LAKE HILLS, TX 78746
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285643585, enumerated as an "individual" on August 05, 2006.
The provider is located at 5656 BEE CAVE RD SUITE D-201 WEST LAKE HILLS, TX 78746 and the phone number is (512) 329-8900.
Optometrist with taxonomy code 152WV0400X and a focus in Vision Therapy.
