NPIMap

Organization Active NPI

Vivien M Smith OD PSC

  • Optometrist
  • Lexington, KY
National Provider Identifier
1164536876
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1223DT Issued in KY
Legal business name
VIVIEN M SMITH OD PSC
Practice address
3735 Palomar Center Drive
Suite 45
Lexington, KY 40513-1147
Phone
(859) 224-8083
Fax
(859) 223-2913
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Vivien Mary Smith, ODNPI 1659485373
Title
Owner Optometrist
Phone
(859) 224-8083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1223DT KY Primary

Addresses

Primary practice location

3735 Palomar Center Drive
Suite 45
Lexington, KY 40513-1147

Mailing address

3735 Palomar Center Drive
Suite 45
Lexington, KY 40513-1147
Phone (859) 224-8083

Other identifiers 1

IdentifierTypeStateIssuer
77012235MedicaidKY

National Provider Directory

National Provider Directory

Locations

3735 Palomar Centre Dr
Ste 45
Lexington, KY 40513
Phone (859) 224-8083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1164536876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 PALOMAR CENTER DRIVE",
            "address_2": "SUITE 45",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131147",
            "telephone_number": "859-224-8083",
            "fax_number": "859-223-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 PALOMAR CENTER DRIVE",
            "address_2": "SUITE 45",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131147",
            "telephone_number": "859-224-8083",
            "fax_number": "859-223-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIEN M SMITH OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "859-224-8083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1223DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012235",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.