DR. JACOB CONNOR SMITH (OD) – Optometrist, NPI 1427672450

DR. JACOB CONNOR SMITH (OD) is a healthcare provider. based in Tanner, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S-E40 (AL). The NPI Number for DR. JACOB CONNOR SMITH (OD) is 1427672450

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB CONNOR SMITH (OD)
NPI
1427672450
Phone
Not provided
Address
20189 MARY ELLA ST
Enumeration Date
5 June 2020
Last Update Date
5 June 2020

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2562332393
Graduation Year
2020 (6 years ago)
PAC ID
0547686305
Group Practice PAC ID
5496192700
Professional Enrollment ID
I20200811003897
Address ID
AL356112714AT110XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for DR. JACOB CONNOR SMITH (OD)

  • 20189 MARY ELLA ST

    TANNER, AL 356713645

    Phone:

    Type: Mailing

  • 110 COLLEGE ST STE B

    ATHENS, AL 356112714

    Phone: (256) 233-5454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $500.

Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Glaukos Corporation ($277).

Total Amount

$500

General + Research + Ownership

Payments

9

Total payment records

General Amount

$500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200811003897IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens4,95035$0
99213Established patient office or other outpatient visit, 20-29 minutes12190$0
92014Established patient complete exam of visual system117117$0
92004New patient complete exam of visual system3535$0
92250Photography of the retina3332$0
View full utilization report →

Insurance plans in this area (ZIP 35671)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496192700View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YOH
O P T O M E T R YAL

Reviews

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Frequently asked questions

Can I cross-check DR. JACOB CONNOR SMITH (OD) using NPI 1427672450?
NPI 1427672450 belongs to DR. JACOB CONNOR SMITH (OD); compare other details if you need extra assurance.
Would DR. JACOB CONNOR SMITH (OD) appear as active to a payer?
You can treat DR. JACOB CONNOR SMITH (OD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. JACOB CONNOR SMITH (OD)?
DR. JACOB CONNOR SMITH (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JACOB CONNOR SMITH (OD) associated with Tanner?
Public fields place DR. JACOB CONNOR SMITH (OD) around Tanner, Alabama. Always confirm the exact site before visiting.
Does DR. JACOB CONNOR SMITH (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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