Charlene Smith MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G3795 Issued in TX

Legal business name

CHARLENE SMITH MD PA

Practice address

410 E Church St
Suite a
Livingston, TX 77351-2966

Phone

(936) 327-3937

NPI assigned

Jun 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charlene Smith, M.D.

Title

President

Phone

(936) 327-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Livingston Eye Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1003077199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E CHURCH ST",
            "address_2": "SUITE A",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512966",
            "telephone_number": "936-327-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E CHURCH ST",
            "address_2": "SUITE A",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512966",
            "telephone_number": "936-327-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLENE SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-327-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G3795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192974701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April R Carroll, RPH
• Carter Healthcare of San Angelo, LLC
• Anna Lee Chancellor, LPC
• Michael Ray Chancellor, LPC-S
• Kimberly Cheree Chapman, COTA
• Amy Cristen Cherry, OTR
• Chiamaka Maryrose Chibundu, M.D.
• Gary Richard Christman, D.D.S.
• Jamie David Clancy, EMT-P, MICT
• Earl E Clark, PAC

• Ophthalmology Physician in Livingston, TX
• Providers in Livingston, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.