DR. JACQUELYN ELIZABETH SMITH O.D.
NPI 1568699064
Optometrist in Wichita, KS

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment
1122 N TOPEKA ST, WICHITA, KS 67214(316) 866-2000(316) 866-2084 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacquelyn Elizabeth Smith O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELYN ELIZABETH SMITH O.D. (NPI 1568699064) is an individual optometrist in Wichita, Kansas, licensed in Kansas (1851) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2009).

NPPES Registry Identity

NPI1568699064
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACQUELYN ELIZABETH SMITHCredential: O.D.
Location Address1122 N TOPEKA STWichita, KS 67214-2810
Mailing Address655 N Woodlawn StWichita, KS 67208-3648
Fax(316) 866-2084
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2009
Enumeration DateJune 11, 2009
Last NPPES UpdateNovember 26, 2019
NPI 1568699064 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 KS · 1851
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.
1122 N TOPEKA ST, Wichita, KS 67214

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacquelyn Elizabeth Smith O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921291469
PECOS Enrollment IDI20101018000235
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1122 N TOPEKA ST
WICHITA, KS 67214
Dentist
1122 N TOPEKA ST
WICHITA, KS 67214
Dentist (General Practice)
1122 N TOPEKA ST
WICHITA, KS 67214
Podiatrist (Primary Podiatric Medicine)
1122 N TOPEKA ST
WICHITA, KS 67214
Dentist (General Practice)
1122 N TOPEKA ST
WICHITA, KS 67214
Dentist (General Practice)
1122 N TOPEKA ST
WICHITA, KS 67214
Nurse Practitioner
1122 N TOPEKA ST
WICHITA, KS 67214
Clinic/Center (Federally Qualified Health Center (FQHC))
1122 N TOPEKA ST
WICHITA, KS 67214

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 Jacquelyn Smith's NPI number?

The NPI number for Jacquelyn Smith is 1568699064. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Jacquelyn Smith located?

Jacquelyn Smith practices at 1122 N Topeka St, Wichita, KS 67214. The listed phone number is (316) 866-2000.

What is Jacquelyn Smith's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jacquelyn Smith enrolled in Medicare?

Yes. Jacquelyn Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacquelyn Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Jacquelyn 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 Jacquelyn Smith was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.