Bobby Darrell Smith II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13941 Issued in CA

Practice address

200 S Wells Rd Ste 225
Ventura, CA 93004-1382

Phone

(805) 659-0250

Fax

(805) 659-9275

NPI assigned

Jul 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinicas del Camino Real IncGroup PAC ID 3173434396, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobbyod.smith.p1@direct.csvs.nextgenshare.com
• Direct secure messaging: bsmith@maloneyshamie.direct.eyemdemr.com
• Direct secure messaging: bobby.smith.p1@direct.clinicas.nextgenshare.com
• Direct secure messaging: bobby.smith.p1@direct.macthealth.nextgenshare.com
• Direct secure messaging: bsmith823223@direct.ochin.org

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

• Clinicas del Camino Real Inc

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1679631907
  Medicare reassignment Care Compare group NPD
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431

  TX

  Medicare reassignment NPD
• Dr Bobby Darrell Smith II OD Professional Optometric Corporation

  • Optometrist
  • San Jose, CA
  • NPI 1679299283
  NPD Authorized official
• Eyedeology Optometry of Mission Viejo

  • Optometrist
  • Mission Viejo, CA
  • NPI 1942858071
  NPD Authorized official
• Clinicas del Camino Real Inc

  • Community Health Clinic/Center
  • Oxnard, CA
  • NPI 1235866138
  NPD
• Clinicas del Camino Real Inc

  • Federally Qualified Health Center (FQHC)
  • Newbury Park, CA
  • NPI 1982820221
  NPD
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1467444364
  NPD
• Maloney-Shamie Vision Institute

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1922501154
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1023320504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 VIA MURCIA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723859",
            "telephone_number": "492-902-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WELLS RD STE 225",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041382",
            "telephone_number": "805-659-0250",
            "fax_number": "805-659-9275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 The Shops At Mission Viejo",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916527",
            "country_code": "US",
            "telephone_number": "949-364-4004",
            "fax_number": "949-364-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BOBBY",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13941",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "0002729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Sloan
• Kaitlyn Sloniker
• Samuel D Small, D.O.
• Sandra Smallwood
• Alexander Robert Smith, L.AC
• Carol Lynne Smith, LPT
• Dana Rae Smith
• Dean Walter Smith, M.D.
• Deborah Smith, MPT
• Jedidiah T Smith, D.C.

• Optometrist in Ventura, CA
• Providers in Ventura, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.