Active NPI
Amy L Smith, MD
- Ophthalmology Physician
- Pontiac, MI
National Provider Identifier
1255333514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301072645
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00180522 | Other | MI | MEDICARE RAILROAD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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.