Samuel C Smart, DOCTOR OF OPTOMETRY

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000130 Issued in VA

Practice address

230 Butler Road
Fredericksburg, VA 22405

Phone

(540) 373-3021

Fax

(540) 373-5565

NPI assigned

Nov 2, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Eyecare, Angela Tsai, O.D. and Associates, P.C.

  • Optometrist
  • Fredericksburg, VA
  • NPI 1134137086
  Medicare reassignment

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1023196276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BUTLER ROAD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22405",
            "telephone_number": "540-373-3021",
            "fax_number": "540-373-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BUTLER ROAD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22405",
            "telephone_number": "540-373-3021",
            "fax_number": "540-373-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTBCBS",
            "identifier": "015625",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SLJS, Inc. (Steve Spratt Improvements)
• Geoffrey D Sloan, MD
• William Dale Slovak, LICENSED OPTICIAN
• Shawn Renea Small Sanders, ANPBC
• Smart Prime Care Provider PLLC (Smart Prime Care)
• Smile Co FXBG Dentistry, PC
• Smileville PLLC (Reform Dentistry)
• Lavonna Smith-Tyler
• Aracoma S Smith, LCSW
• Ashley Dawn Smith, LMT

• Optometrist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.