Kirk L Smick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000737 Issued in GA

Practice address

1000 Corporate Center Drive
Suite 100
Morrow, GA 30260-4180

Phone

(770) 968-8888

Fax

(770) 960-2473

NPI assigned

Sep 12, 2005

Last updated

Nov 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1023002540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DRIVE",
            "address_2": "STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DRIVE",
            "address_2": "SUITE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMICK",
        "first_name": "KIRK",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004683D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406540201",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Najeeb Khalid Siddiq, MD
• Mindy Ann Simmons, MS, ATC, LAT, CSCS
• Mary Alice Simonton, PAAA
• Marquida Sims
• Tyshemala Singleton
• Sherrie Elizabeth Smith-Scott, DDS
• Brenton Smith, O.D.
• Michele S Smith, PHD
• Ronda Ronette Smith, RBT
• Shelby K Smith, D.C.

• Optometrist in Morrow, GA
• Providers in Morrow, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.