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JACQUELINE ROSE SMITH
NPI 1508558024
Optometrist in Waltham, MA

Active since May 23, 2023PECOS Enrolled
289 MOODY ST, WALTHAM, MA 02453(781) 894-2127 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, May 31, 2023, May 23, 2023 (3 updates tracked since 2023).

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

NPI1508558024
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACQUELINE ROSE SMITH
Location Address289 MOODY STWaltham, MA 02453-5284
Mailing Address22 Sunnyhill RdLunenburg, MA 01462-1331 · (978) 870-2770
Phone(781) 894-2127
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2023
Enumeration DateMay 23, 2023
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1508558024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 5620
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
289 MOODY ST, Waltham, MA 02453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Rose Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779945670
PECOS Enrollment IDI20230809001724
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
21 services21 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients

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.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAKE DUCLOS FIORE OD
Optometrist
289 MOODY ST
WALTHAM, MA 02453
Middlesex County (781) 894-2127
VIVIAN CHUNG
Optometrist
289 MOODY ST
WALTHAM, MA 02453
Middlesex County (781) 894-2127

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.

What insurance does Jacqueline Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan 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 2 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.