DR. JACQUELINE ELIZABETH SMITH (NPI# 1396709689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396709689 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE ELIZABETH SMITH |
| Other Name | DR. JACQUELINE ELIZABETH SMITH |
| Credential | M.D. |
| Practice Address |
4101 Nw 4th St # 409 Plantation FL 33317-2850 |
| Mailing Address |
4101 Nw 4th St # 409 Plantation FL 33317-2836 |
| Practice Telephone | 9543219555 |
| Practice Fax Number | 9543219557 |
| Mailing Telephone | 9543219555 |
| Mailing Fax Number | 9543219557 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 71500 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 251684500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 782365638 | 2102926040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
| 1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
| 1659925337 | Jacqueline Gajewski Smith | Nurse Practitioner | 130 Se Crestwood Cir, Stuart, FL 34997-7438 | 2019-07-30 |
| 1639737810 | Jacqueline Brooks Smith | Registered Nurse | 3570 Cherry Run Rd, Rimersburg, PA 16248-5628 | 2019-06-03 |
| 1366907941 | Jacqueline Lynette Smith | Student in an Organized Health Care Education/Training Program | 9258 Culebra Rd Ste 140, San Antonio, TX 78251-2877 | 2019-02-07 |
| 1902256373 | Jacqueline Smith | Speech-Language Pathologist | 1110 Chestnut St, Fremont, OH 43420-4312 | 2016-06-16 |
| 1225405293 | Jacqueline Deana Smith | Registered Nurse | 3187 E Hudson St, Columbus, OH 43219-1632 | 2015-08-26 |
| 1174999395 | Jacqueline A Smith | Home Health | 3730 Fm 1960 Rd W Ste 210, Houston, TX 77068-3508 | 2015-08-12 |
| 1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
| 1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
| Street Address |
4101 NW 4TH ST # 409 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124629 | Andrew S Ellowitz | Orthopaedic Surgery | 4101 Nw 4th St, Suite 305, Plantation, FL 33317-2850 | 2005-09-13 |
| 1386141414 | Jessica Saint Clair | Nurse Practitioner | 4101 Nw 4th St, Plantation, FL 33317-2850 | 2018-04-05 |
| 1043757537 | Alan Bruce Dautch, Pa | Chiropractor | 4101 Nw 4th St, #208, Plantation, FL 33317-2850 | 2017-01-23 |
| 1750779682 | Claudine Mckenzie | Nurse Practitioner | 4101 Nw 4th St, Suite 200, Plantation, FL 33317-2850 | 2014-12-30 |
| 1073941324 | Syretta Morris | Nurse Practitioner | 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 | 2013-10-24 |
| 1154762771 | Injury Treatment Center of Coral Springs, Inc. | Non-Pharmacy Dispensing Site | 4101 Nw 4th St, #208, Plantation, FL 33317-2850 | 2013-07-11 |
| 1235472671 | Genestem | Clinic/Center | 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 | 2013-04-04 |
| 1710226055 | Michelle Margaret Roachford | Nurse Practitioner | 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 | 2013-02-06 |
| 1891046199 | Jacqueline E. Smith Md. Pa | Ophthalmology | 4101 Nw 4th St, Suite 409, Plantation, FL 33317-2850 | 2012-09-26 |
| 1861748717 | Vicky Jasmine Marsh | Family Medicine | 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760725626 | Ilan Jeffrey Epstein | Ophthalmology | 850 S Pine Island Rd Ste 100a, Plantation, FL 33324 | 2013-03-29 |
| 1700048501 | Geetha Ganti Vedula | Ophthalmology | 1776 N Pine Island Rd Ste 214, Plantation, FL 33322 | 2008-07-02 |
| 1598936924 | Dan Georgescu | Ophthalmology | 1776 N Pine Island Rd Ste 218, Plantation, FL 33322-5223 | 2008-03-13 |
| 1346294113 | South Florida Laser Eye Center | Ophthalmology | 8051 W Sunrise Blvd, Plantation, FL 33322-4103 | 2006-05-19 |
| 1609826825 | Eric Ferdinand Ciliberti | Ophthalmology | 8051 W. Sunrise Blvd, Plantation, FL 33322-3118 | 2006-05-10 |
| 1942265368 | Eye Associates of Plantation Inc | Ophthalmology | 499 Nw 70 Avenue, Suite 100, Plantation, FL 33317 | 2006-04-19 |
| 1205827540 | William C. Albert | Ophthalmology | 850 S Pine Island Rd, Ste 102, Plantation, FL 33324-3118 | 2005-11-04 |
| 1972590149 | Raananah S Katz | Ophthalmology | 1776 N Pine Island Rd, Ste 214, Plantation, FL 33322-5233 | 2005-10-04 |
| 1558363291 | Wayne Franklin Bizer | Ophthalmology | 850 S. Pine Island Rd., Ste A100, Plantation, FL 33324 | 2005-08-12 |
| 1053318402 | Neil E Kanterman | Ophthalmology | 220 Sw 84th Ave, Suite 204, Plantation, FL 33324-2754 | 2005-06-30 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
Please comment or provide details below to improve the information on DR. JACQUELINE ELIZABETH 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.