1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Optometrist
  6. NPI Profile

DR. JEFFREY TEDDY SMITH O.D.
NPI 1730229170
Optometrist in Boulder, CO

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
1011 PEARL ST, BOULDER, CO 80302(303) 939-8021(303) 939-8025 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeffrey Teddy Smith O.d. NPPES

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

DR. JEFFREY TEDDY SMITH O.D. (NPI 1730229170) is an individual optometrist in Boulder, Colorado, licensed in Colorado (1388) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1982).

NPPES Registry Identity

NPI1730229170
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY TEDDY SMITHCredential: O.D.
Location Address1011 PEARL STBoulder, CO 80302-5110
Mailing Address1011 Pearl StBoulder, CO 80302-5110 · (303) 939-8021 · Fax (303) 939-8025
Phone(303) 939-8021
Fax(303) 939-8025
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1982
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1730229170 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 CO · 1388
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.
1011 PEARL ST, Boulder, CO 80302
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Teddy 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 ID6800786732
PECOS Enrollment IDI20060215000776
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Envision Boulder
Same address
Optometrist
1011 PEARL ST
Boulder, CO 80302
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1982873543 (303) 939-8021

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 3

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.
142 services142 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services18 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
23 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80302 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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

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

ENVISION BOULDER
Optometrist
1011 PEARL ST
BOULDER, CO 80302
Boulder County (303) 939-8021

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 Jeffrey Smith's NPI number?

The NPI number for Jeffrey Smith is 1730229170. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Jeffrey Smith located?

Jeffrey Smith practices at 1011 Pearl St, Boulder, CO 80302. The listed phone number is (303) 939-8021.

What is Jeffrey Smith's specialty?

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

Is Jeffrey Smith enrolled in Medicare?

Yes. Jeffrey 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.

Which organization bills Medicare for Jeffrey Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Smith reassigns Medicare benefits to Envision Boulder (Boulder, CO). 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 Jeffrey Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Smith was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.