Individual provider Active NPI

Amy L Smith, MD

  • Ophthalmology Physician
  • Pontiac, MI
National Provider Identifier
1255333514
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301072645 Issued in MI
Practice address
44555 Woodward Ave Ste 203
Pontiac, MI 48341-5033
Phone
(248) 334-4931
Fax
(248) 239-0492
NPI assigned
Jun 1, 2005
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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 4301072645 MI Primary

Addresses

Primary practice location

44555 Woodward Ave Ste 203
Pontiac, MI 48341-5033

Mailing address

44555 Woodward Ave Ste 203
Pontiac, MI 48341-5033
Phone (248) 334-4931

Other identifiers 1

IdentifierTypeStateIssuer
P00180522OtherMIMEDICARE RAILROAD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alsmith@WILKEC1846.srs-direct.com Direct Wilkinson Eye Center PC
Direct Messaging Address asmith@osm.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: alsmith@wilkec1846.srs-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1255333514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 203",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415033",
            "telephone_number": "248-334-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 203",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415033",
            "telephone_number": "248-334-4931",
            "fax_number": "248-239-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301072645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00180522",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alsmith@WILKEC1846.srs-direct.com",
            "affiliation": "Y",
            "affiliationName": "Wilkinson Eye Center PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "44555 Woodward Ave",
            "address_2": "Ste 203",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmith@osm.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "44555 Woodward Ave Ste 203",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.