Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Rose Smith

Individual provider Optometrist · NPI 1508558024

Jacqueline Rose Smith is an Optometry in Waltham, Massachusetts. Graduated from New England College of Optometry in 2023, 3 years ago. Practices with Ejc Eyecare LLC, a 3-clinician group. Licensed in Massachusetts.

Years since qualifying
3
Trained at
New England College of Optometry
Licensed in
MA
In the registry since
2023

Practice location Address checks out

289 Moody St
Waltham, MA 02453-5284
Phone: (781) 894-2127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5620 (MA)

Record details

NPI number1508558024
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address22 Sunnyhill Rd, Lunenburg, MA 01462-1331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Ejc Eyecare Llc — 3 clinicians
Accepts Medicare assignment Not indicated

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