Individual provider Active NPI

Dillon Smith, OD

  • Optometrist
  • St Augustine, FL
National Provider Identifier
1245722917
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5553 Issued in FL
Practice address
161 Hampton Point Dr Ste 3
St Augustine, FL 32092-3058
Phone
(904) 287-9137
Fax
(904) 287-9057
NPI assigned
May 30, 2018
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5553 FL Primary
Optometrist 152W00000X OPC005553 FL

Addresses

Primary practice location

161 Hampton Point Dr Ste 3
St Augustine, FL 32092-3058

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180907000217 FL Practitioner - Optometry 2264782556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians
St Johns Eye Associates PAGroup PAC ID 6406990605, 8 clinicians

Practice addresses (Care Compare)

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

150 Village Commons Dr
Suite 102
St Augustine, FL 32092-4548
Phone (904) 530-9802

161 Hampton Point Dr
Suite 3
Saint Augustine, FL 32092-3058
Phone (904) 287-9137

200 Nocatee Village Dr
Ponte Vedra, FL 32081-5097
Phone (904) 825-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005553FLMDOptometrist
OPC5553FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Johns Eye Associates PA Optometrist CurrentSince Aug 8, 2022 Accepting new patients
St Johns Eye Associates at Nocatee Optometrist CurrentSince Aug 8, 2022 Accepting new patients
St Johns Eye Associates PA Optometrist Current Accepting new patients
St Johns Eye Associates PA Optometrist PastSince Jun 26, 2022 Accepting new patients

Locations

2039 Hendricks Ave
Ste 213
Jacksonville, FL 32207
Phone (904) 560-6962

200 Nocatee Village Dr
Ponte Vedra Beach, FL 32081
Phone (904) 682-9094

150 Village Commons Dr
Ste A102
Saint Augustine, FL 32092
Phone (904) 530-9802

161 Hampton Point Dr
Ste 3
Saint Augustine, FL 32092
Phone (904) 204-3345

Interoperability endpoints

  • Direct secure messaging: dsmith@kutrybeye.eyefinity-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1245722917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HAMPTON POINT DR STE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923058",
            "telephone_number": "904-287-9137",
            "fax_number": "904-287-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DILLON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5553",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.