JACQUELINE ROSE SMITH
NPI 1508558024
Optometrist in Waltham, MA
About Jacqueline Rose Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE ROSE SMITH (NPI 1508558024) is an individual optometrist in Waltham, Massachusetts, licensed in Massachusetts (5620) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Rose Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waltham, MA 02453
- Reassigned Medicare billing, Massachusetts enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Smith's NPI number?
The NPI number for Jacqueline Smith is 1508558024. It was assigned to this individual provider in the NPPES registry on May 23, 2023.
Where is Jacqueline Smith located?
Jacqueline Smith practices at 289 Moody St, Waltham, MA 02453. The listed phone number is (781) 894-2127.
What is Jacqueline Smith's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jacqueline Smith enrolled in Medicare?
Yes. Jacqueline Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Smith reassigns Medicare benefits to Ejc Eyecare, LLC (Waltham, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Smith accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jacqueline Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacqueline Smith was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Rose Smith · NPI 1508558024
Optometrist provider in Waltham, Massachusetts. Individual provider, active in the CMS NPPES registry since May 23, 2023.
## Identity
- **NPI:** 1508558024 (Entity type: Individual)
- **Enumerated:** May 23, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5620 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 289 MOODY ST, Waltham, MA 02453-5284
- **Phone:** (781) 894-2127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ejc Eyecare, LLC (NPI 1235368275, Waltham, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2023
## Record status
- **NPPES last updated:** August 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508558024) · Data from the CMS NPPES public registry.