JOHN R SMITH O.D., M.S.
NPI 1760426167
Optometrist - Low Vision Rehabilitation in Hamburg, PA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
260 STATE ST, HAMBURG, PA 19526(610) 562-4548(610) 562-1358 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John R Smith O.d., M.s. NPPES

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

JOHN R SMITH O.D., M.S. (NPI 1760426167) is an individual low vision rehabilitation provider in Hamburg, Pennsylvania, licensed in Pennsylvania (OEG000269) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1991).

NPPES Registry Identity

NPI1760426167
Entity TypeIndividualMale
Primary Taxonomy152WL0500X
Provider Legal NameJOHN R SMITHCredential: O.D., M.S.
Location Address260 STATE STHamburg, PA 19526-1823
Mailing Address260 State StHamburg, PA 19526-1823 · (610) 562-4548 · Fax (610) 562-1358
Fax(610) 562-1358
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1991
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 17, 2008
NPI 1760426167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License Licensed in PA · OEG000269
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
260 STATE ST, Hamburg, PA 19526

Other Identifiers 5

Other679971PA · Blue Shield
Medicare NSC0468760001PA
Medicare PIN679971PA
Other50003676PA · Blue Cross
Medicare UPINU19365PA

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

John R Smith O.d., M.s. 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 ID7618877424
PECOS Enrollment IDI20040109000298
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 11

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.
364 services338 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
163 services153 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
118 services72 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
68 services65 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
60 services56 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.
60 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19526 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 4

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

Optometrist (Vision Therapy)
260 STATE ST
HAMBURG, PA 19526
Podiatrist (Foot & Ankle Surgery)
260 STATE ST, SUITE 2
HAMBURG, PA 19526
Optometrist
260 STATE ST
HAMBURG, PA 19526
Optometrist
260 STATE ST
HAMBURG, PA 19526

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 John Smith's NPI number?

The NPI number for John Smith is 1760426167. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is John Smith located?

John Smith practices at 260 State St, Hamburg, PA 19526. The listed phone number is (610) 562-4548.

What is John Smith's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is John Smith enrolled in Medicare?

Yes. John 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 John Smith accept?

Health plans from Providence Health Plan list John 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 John Smith was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.