Individual provider Active NPI

Kourtney Eaton Smith, O.D.

  • Optometrist
  • Kalispell, MT
National Provider Identifier
1205680550
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5228 Issued in MT
Practice address
580 N Meridian Rd
Kalispell, MT 59901-3532
Phone
(406) 755-5910
NPI assigned
Apr 15, 2024
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5228 MT Primary

Addresses

Primary practice location

580 N Meridian Rd
Kalispell, MT 59901-3532

Mailing address

580 N Meridian Rd
Kalispell, MT 59901-3532

Other names 1

  • Kourtney Eaton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240702001590 MT Practitioner - Optometry 2668916594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Vision Clinic PLLCGroup PAC ID 2769474436, 5 clinicians

Practice addresses (Care Compare)

580 N Meridian Rd
Kalispell, MT 59901-3532
Phone (406) 755-5910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5228MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Clinic PLLC Optometrist CurrentSince Jun 17, 2024 Accepting new patients

Locations

580 N Meridian Rd
Kalispell, MT 59901
Phone (406) 755-5910

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1205680550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013532",
            "telephone_number": "406-755-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON SMITH",
        "first_name": "KOURTNEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOURTNEY",
            "last_name": "EATON",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.