MR. ERIC TODD SMITH (NPI# 1295240588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295240588 |
| Entity Type | Individual |
| Full Name | MR. ERIC TODD SMITH |
| Credential | OTC |
| Practice Address |
1103 16th Ave Se Decatur AL 35601-3595 |
| Practice Telephone | 2563550362 |
| Mailing Telephone | 2563500362 |
| Mailing Fax Number | 2563559779 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 17-1104 | AL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351185 | Eric Smith | Secured Medical Transport (VAN) | 4610 182nd Pl, Country Club Hills, IL 60478-5037 | 2020-09-17 |
| 1265046932 | Eric Wayne Smith | Nurse Practitioner | 1200 Ross St Ste 100, Amarillo, TX 79102-4411 | 2020-09-01 |
| 1588276992 | Eric Smith | Registered Nurse | 3640 W Sunglade Dr, Tucson, AZ 85742-1134 | 2020-08-18 |
| 1649889676 | Eric Smith | Speech-Language Pathologist | 11888 Longridge Ave Apt 1090, Baton Rouge, LA 70816-3904 | 2020-07-27 |
| 1225500853 | Eric Smith | Driver | 10322 Moss Lea Dr, Baton Rouge, LA 70818-4729 | 2018-12-20 |
| 1598259608 | Eric Smith | Dentist | 28119 John R Rd, Madison Heights, MI 48071-2810 | 2018-06-21 |
| 1013363704 | Eric M Smith | Physician Assistant | 2251 Hempstead Tpke Bldg R, East Meadow, NY 11554-1856 | 2016-05-11 |
| 1811357130 | Eric Smith | Hearing Instrument Specialist | 401 3rd St Ste 5, Rapid City, SD 57701-2207 | 2016-02-29 |
| 1811370919 | Eric Smith | Community/Behavioral Health | 11656 Yellowstone St, Detroit, MI 48204-1426 | 2015-07-07 |
| 1255698411 | Eric J Smith | Physical Therapist | 7805 Se 35th Ave, Portland, OR 97202-8409 | 2012-04-12 |
| Street Address |
1103 16TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104904903 | Phillip Shannon Farris | Physician Assistant | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2006-11-01 |
| 1962036665 | Krista Butts | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2020-03-03 |
| 1679095699 | Jeremy Keith Urban | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601 | 2017-07-11 |
| 1699169474 | Nicholas Krishnan | Physician Assistant | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2015-03-19 |
| 1841633187 | Justin David Hallock | Orthopaedic Surgery | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2013-04-16 |
| 1073854626 | Meghan Pace Hollimon | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2013-03-06 |
| 1902045867 | Janice D Draper | Physical Therapist | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2009-02-16 |
| 1215198007 | Justin L Daigre | Specialist | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2008-06-24 |
| 1023234648 | Charles Edward Fortenberry | Nurse Practitioner | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2007-04-18 |
| 1740331347 | Decatur Orthopaedic Clinic, LLC | Physical Medicine & Rehabilitation | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107973 | Jessica Lynn Pederson | Technician/Technologist | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-02-25 |
| 1962684480 | Ray Vincent Reil | Technician/Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649524638 | Buford Devin Coe | Technician/Technologist | 401 Schillinger Rd N, Mobile, AL 36608-5203 | 2012-10-30 |
| 1134331226 | George R. Carlton Jr. | Technician/Technologist | 20 S Douglas Ave, Sylacauga, AL 35150-2951 | 2007-05-03 |
| 1982706396 | The Eyecare Place | Technician/Technologist | 5011 Gary Ave., Fairfield, AL 35064 | 2006-09-05 |
| 1801379250 | Miriam Marrs | Technician/Technologist | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2018-09-12 |
| 1972047843 | Wales Rowe | Technician/Technologist | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2016-12-13 |
| 1780852293 | Debrina Rose | Technician/Technologist | Bldg 301 Andrew Ave, Fort Rucker, AL 36362 | 2008-02-19 |
Please comment or provide details below to improve the information on MR. ERIC TODD SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.