DR. JEFFREY TEDDY SMITH (NPI# 1730229170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730229170 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY TEDDY SMITH |
| Credential | O.D. |
| Practice Address |
1230 Spruce St Boulder CO 80302-4806 |
| Practice Telephone | 3039398021 |
| Practice Fax Number | 3039398025 |
| Mailing Telephone | 3039398021 |
| Mailing Fax Number | 3039398025 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1388 | CO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768207 | Jeffrey Michael Smith | Nurse Practitioner | 96 Sutton St, Northbridge, MA 01534-1003 | 2020-07-28 |
| 1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
| 1447723101 | Jeffrey Clinton Smith | Massage Therapist | 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 | 2019-01-05 |
| 1518457738 | Jeffrey David Smith | Student in an Organized Health Care Education/Training Program | 1400 Locust Street Ermire, Suite 11516, Pittsburgh, PA 15219-5114 | 2018-05-14 |
| 1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
| 1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
| 1538586680 | Jeffrey Smith II | Counselor | 3300 N Tenaya Way Apt 2087, Las Vegas, NV 89129-7416 | 2014-03-26 |
| 1710316773 | Jeffrey Smith | Registered Nurse | 273 Hundred Oaks Pkwy, Summerville, SC 29483-8193 | 2013-11-10 |
| 1487901583 | Jeffrey Dean Smith Jr. | Licensed Vocational Nurse | 1782 W Columbia Way, Hanford, CA 93230-1104 | 2012-08-07 |
| 1326315870 | Jeffrey Paul Smith | Physical Therapy Assistant | 1625 Ocala Ave, Johnstown, PA 15902-3526 | 2011-11-29 |
| Street Address |
1230 SPRUCE ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194864801 | Jean Berkey Israelson | Optometrist | 1230 Spruce St, Boulder, CO 80302-4806 | 2007-02-06 |
| 1982873543 | Envision Boulder | Optometrist | 1230 Spruce St, Boulder, CO 80302-4806 | 2008-02-27 |
| 1649319237 | Vicky Graham | Optometrist | 1230 Spruce St, Boulder, CO 80302-4806 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245783240 | Rocky Mountain Eye Institute, LLC | Optometrist | 1645 28th St, Boulder, CO 80301-1001 | 2016-07-27 |
| 1861864571 | Ting Zhang | Optometrist | 4800 Baseline Rd Ste D107, Boulder, CO 80303-2643 | 2015-10-21 |
| 1689918799 | Boulder Eye Care Professionals LLC | Optometrist | 2795 Pearl St Ste 100, Boulder, CO 80302-3826 | 2012-11-15 |
| 1801100318 | Richard D Bruess Od | Optometrist | 6545 Gunpark Dr Ste 250, Boulder, CO 80301-3350 | 2010-07-27 |
| 1194907261 | Paula Postma | Optometrist | 2995 Baseline Rd Ste 102, Boulder, CO 80303-2318 | 2007-11-30 |
| 1437346343 | Boulder Vision Associates, P.C., Inc. | Optometrist | 5305 Spine Rd Ste B, Boulder, CO 80301-3331 | 2007-09-25 |
| 1225251788 | Boyace J. Holland, O.d. | Optometrist | 1310 College Ave Ste 310, Boulder, CO 80302-7324 | 2007-04-11 |
| 1710004890 | Glenda Denham | Optometrist | 2885 Aurora Ave Ste 4, Boulder, CO 80303-2251 | 2007-03-23 |
| 1093831612 | Reid Thomas Wesley Oberer | Optometrist | 580 Mohawk Drive, Boulder, CO 80302-3712 | 2007-03-22 |
| 1225165335 | Monica Mortenson | Optometrist | 1855 29th St # 1e-1156, Boulder, CO 80301-1065 | 2007-02-27 |
| Find all providers in BOULDER | ||||
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| 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.