Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376681692 Individual Practitioner Male Practitioner

Dr. Jonathan Smith , OD

Optometrist • Incline Village, NV

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Smith, OD is a registered Optometrist practitioner in Incline Village, NV. With approximately 36 years of clinical practice since graduating from Southern California College Of Optometry in 1990, Dr. Smith provides healthcare services at the registered practice location at 780 NORTHWOOD BLVD.

Dr. Smith accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

780 Northwood Blvd

Incline Village, NV 894518209

Telephone 7758314131
Fax 7758314165
Associated Practice Facility / Clinic
🏢 Dr Jonathan Smith Ltd Facility NPI 1689888992

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Incline Village, NV

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs Matches City Avg
City Avg: 36.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Incline Village, NV (562 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
8.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (36 Years) 36 Yrs
Incline Village Specialty Average (36.0 Years) 36.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
204 204 $115.00 $113.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 17 $70.00 $55.34

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NV 267

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nppes Type Ii Organization/group Npi
1689888992 (NV)
Commercial Insurance / Payer ID Supplier Number
0177380002 (NV)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2009

Registered at 780 NORTHWOOD BLVD, INCLINE VILLAGE, NV 894518209 (Tel: 7758314131)

📍
Updated Business Mailing Address January 06, 2009

Registered at 780 NORTHWOOD BLVD, INCLINE VILLAGE, NV 894518209 (Tel: 7758314131)

👤
Provider Name / Credentials Updated January 06, 2009

Recorded as JONATHAN SMITH, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2009

Optometrist (License #267 in NV)

🟢
Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376681692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: January 06, 2009
Sole Proprietor: No

Mailing Address

780 Northwood Blvd

Incline Village, NV 894518209

Phone: 7758314131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.