Individual provider Active NPI

David Lenaurd Smith, O.D.

  • Optometrist
  • Circleville, OH
National Provider Identifier
1154359693
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2782-658 Issued in OH
Practice address
231 N Court St
Circleville, OH 43113-1607
Phone
(740) 474-7551
Fax
(740) 474-7552
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2782-658 OH Primary

Addresses

Primary practice location

231 N Court St
Circleville, OH 43113-1607

Mailing address

231 N Court St
Circleville, OH 43113-1607
Phone (740) 474-7551

Other identifiers 2

IdentifierTypeStateIssuer
0442190001OtherOHMEDICARE SUPPLIER NO.
0074575MedicaidOH

Other names 1

  • Mrs. Liz J Huff Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090904000002 OH Practitioner - Optometry 4880749324 Practice locations: Circleville, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2782-658OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1154359693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131607",
            "telephone_number": "740-474-7551",
            "fax_number": "740-474-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131607",
            "telephone_number": "740-474-7551",
            "fax_number": "740-474-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "LENAURD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2782-658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER NO.",
            "identifier": "0442190001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "HUFF",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "OPTICIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.