Michael Keith Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1556DT Issued in KY

Practice address

104 Smoky Way
Suite 100
Danville, KY 40422-8728

Phone

(859) 236-8644

Fax

(859) 236-0523

NPI assigned

Jul 6, 2006

Last updated

Jan 13, 2015By 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

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Southern College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Danville Eye Center, PLLCGroup PAC ID 2365418878, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msmith.keca@direct.ocuhub.com
• Direct secure messaging: msmith9545@danvilleeyecenter.emadirect.md

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.

• Danville Eye Center, PLLC

  • Optometrist
  • Danville, KY
  • NPI 1619019213
  Medicare reassignment Care Compare group NPD
• Wing Eyecare, Inc.

  dba Wing Eyecare

  • Optometrist
  • Florence, KY
  • NPI 1912194986
  NPD (past)
• Wing Eyecare, Inc.

  dba Wing Eyecare

  • Optometrist
  • Miamisburg, OH
  • NPI 1699138883
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1124059001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 GOGGIN LN",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229366",
            "telephone_number": "859-466-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SMOKY WAY",
            "address_2": "SUITE 100",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228728",
            "telephone_number": "859-236-8644",
            "fax_number": "859-236-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1556DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Smith, LCSW
• Heather B. Smith, APRN
• Kellie Lynn Smith, APRN, FNP-C
• Kimberly Zimmer Smith, O.D.
• Lynn Thompson Smith
• Nathan Dale Smith, MS,OTR/L
• Hillary Sowder, APRN
• Taylor Renea Sparks, APRN, FNP-C
• Spero Health of Kentucky, LLC
• Barry A Spoonamore, M.D.

• Optometrist in Danville, KY
• Providers in Danville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.