Andrew Paul Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005146-1 Issued in NY

Practice address

163 Main St
Penn Yan, NY 14527-1284

Phone

(315) 536-9941

NPI assigned

Apr 5, 2006

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 NY

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

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Penn Yan Optometry PC

  • Eyewear Supplier
  • Penn Yan, NY
  • NPI 1275600496

  Optometrist

  Medicare reassignment NPD Authorized official
• Andrew P Smith, OD

  • Optometrist
  • Waterloo, NY
  • NPI 1659407260
  NPD (past) Authorized official
• Silbert Optical, Inc.

  • Optician
  • Auburn, NY
  • NPI 1932307014

  Optometrist

  NPD (past)
• Waterloo Ophthalmic Dispensing, PC

  • Eyewear Supplier
  • Waterloo, NY
  • NPI 1518199371
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174585996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 GUYANOGA RD",
            "address_2": "PO BOX 690",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279217",
            "telephone_number": "315-536-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271284",
            "telephone_number": "315-536-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005146-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Scott, CNM
• Maretta Scouten
• Susan Louise Simmons, BS RN
• Hannah Simone, DPT
• Cynthia Lou Smart, PRN
• Jennifer Ashley Smith, PHARMD
• Kevin Smith, OD
• Debra Moeller Snyder, RN
• Lauren R Snyder, RN
• Michele Snyder

• Optometrist in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.