Robert Newton Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS1212-2 Issued in KS

Practice address

624 Bridge St
Humboldt, KS 66748-1733

Phone

(620) 473-2772

Fax

(620) 473-3573

NPI assigned

Sep 25, 2006

Last updated

Mar 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Optometry

Education

Southern College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reynolds & Anliker Eye Physicians & Surgeons LLC

  • Ophthalmology Physician
  • Emporia, KS
  • NPI 1255740676
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1255431383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667480038",
            "telephone_number": "620-473-2772",
            "fax_number": "620-473-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 BRIDGE ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481733",
            "telephone_number": "620-473-2772",
            "fax_number": "620-473-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "NEWTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1212-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218130-B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218130-A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neosho Memorial Regional Medical Center (Nmrmc Family Medicine Clinic - Humboldt)
• Pinecrest Care Center LLC
• Todd Rogers
• Saint Luke's Hospital of Allen County, Inc
• Kristina Sirimarco
• Southeast Kansas Mental Health Center (Ashley Clinic)
• Southeast Kansas Mental Health Center
• Southeast Kansas Mental Health Center
• Southeast Kansas Mental Health Center
• Southeast Kansas Mental Health Center

• Optometrist in Humboldt, KS
• Providers in Humboldt, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.