Patricia D Smith, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101046481 Issued in VA

Practice address

8625 Sudley Rd
Manassas, VA 20110-4515

Phone

(703) 361-3434

Fax

(703) 361-6252

NPI assigned

Jul 27, 2006

Sex

Female

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 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• David Harvan

  • Ophthalmology Physician
  • Manassas, VA
  • NPI 1720160823
  Medicare reassignment NPD
• Silk Vision and Surgical Center

  • Ophthalmology Physician
  • Annandale, VA
  • NPI 1417009267
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164446563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104515",
            "telephone_number": "703-361-3434",
            "fax_number": "703-361-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104515",
            "telephone_number": "703-361-3434",
            "fax_number": "703-361-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101046481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST PROVIDER ID",
            "identifier": "2522-0005",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "227705",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Harold Smith, LPC, LMFT
• Conrad Albert Smith, LCSW
• Danielle Smith
• David Alden Smith, MD
• Leaie Smith
• Pearl Smith, LCSW
• Stephen M Smith, MD
• Suzette Mitchell Smith, LCSW
• Yvetta Denise Smith, LPC
• Rosemary Smyers, LPTA

• Ophthalmology Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.