Individual provider Active NPI

Ronald K Smith, O.D.

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1003976952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3688T Issued in TX
Practice address
820 E Cartwright Rd
Ste 150
Mesquite, TX 75149-6000
Phone
(972) 288-2520
Fax
(972) 288-2236
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3688T TX Primary

Addresses

Primary practice location

820 E Cartwright Rd
Ste 150
Mesquite, TX 75149-6000

Mailing address

820 E Cartwright Rd
Ste 150
Mesquite, TX 75149-6000
Phone (972) 288-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131101001228 TX Practitioner - Optometry 2769617521 Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003976952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E CARTWRIGHT RD",
            "address_2": "STE 150",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496000",
            "telephone_number": "972-288-2520",
            "fax_number": "972-288-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E CARTWRIGHT RD",
            "address_2": "STE 150",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496000",
            "telephone_number": "972-288-2520",
            "fax_number": "972-288-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONALD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3688T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.