Individual provider Active NPI

Mark P Smith, O.D.

  • Optometrist
  • Columbus, GA
National Provider Identifier
1124046735
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001254 Issued in GA
Practice address
6600 Whittlesey Blvd BLDG a
Columbus, GA 31909-7337
Phone
(706) 323-3491
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001254 GA Primary

Addresses

Primary practice location

6600 Whittlesey Blvd BLDG a
Columbus, GA 31909-7337

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

2012 10th Ave
Columbus, GA 31901-1460
Phone (706) 323-3491

Other practice location 2

2616 Warm Springs Rd
Columbus, GA 31904-5323
Phone (706) 323-3491

Other identifiers 1

IdentifierTypeStateIssuer
00451162FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20071211000161 GA Practitioner - Optometry 0840389060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Georgia Eye Care Center,P.a.Group PAC ID 9436147972, 16 clinicians
Valley Vision Center IncGroup PAC ID 5597746321, 2 clinicians

Practice addresses (Care Compare)

2616 Warm Springs Rd
Columbus, GA 31904-5323
Phone (706) 323-3491

400 3Rd Ave
West Point, GA 31833-1522
Phone (706) 643-2020

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
91.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT001254GAMDOptometrist
1254GAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Georgia Optical, LLC Optometrist PastSince Dec 3, 2007 Accepting new patients
West Georgia Medical Associates PastSince Aug 11, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.smith.p4@direct.clemsoneye.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1124046735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WHITTLESEY BLVD BLDG A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097337",
            "telephone_number": "706-323-3491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319011460",
            "country_code": "US",
            "telephone_number": "706-323-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2616 Warm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319045323",
            "country_code": "US",
            "telephone_number": "706-323-3491",
            "fax_number": "706-660-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00451162F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.