Individual provider Active NPI

Donald Anthony Smith Jr., MD

  • Ophthalmology Physician
  • Elizabethtown, KY
National Provider Identifier
1235130956
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26481 Issued in KY
Practice address
1109 Woodland Dr
Elizabethtown, KY 42701-2749
Phone
(270) 765-6066
Fax
(270) 737-2354
NPI assigned
Aug 3, 2005
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26481 KY Primary

Addresses

Primary practice location

1109 Woodland Dr
Elizabethtown, KY 42701-2749

Mailing address

1109 Woodland Dr
Elizabethtown, KY 42701-2749
Phone (270) 765-6066

Other identifiers 1

IdentifierTypeStateIssuer
64264815MedicaidKY

Other names 1

  • Tony Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20040504000751 KY Practitioner - Ophthalmology 3476541913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Elizabethtown PSCGroup PAC ID 8729050695, 3 clinicians

Practice addresses (Care Compare)

1109 Woodland Dr
Elizabethtown, KY 42701-2749
Phone (270) 765-6066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26481KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Elizabethtown PSC Ophthalmology CurrentSince Feb 4, 1995 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2015 Accepting new patients
University of Louisville Physicians, Inc. Ophthalmology Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2015 Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1109 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 765-6066

301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1235130956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-765-6066",
            "fax_number": "270-737-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-765-6066",
            "fax_number": "270-737-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONALD",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "26481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64264815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "SMITH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.