Individual provider Active NPI

Laura Lynn Smith, O.D.

  • Optometrist
  • Lillington, NC
National Provider Identifier
1265480271
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1468 Issued in NC
Practice address
210 West Ivey Street
Lillington, NC 27546-5621
Phone
(910) 893-5711
Fax
(910) 893-4805
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 W Ivey St
Lillington, NC 27546-5621
Phone (910) 893-5711

PO Box
Suite 430
Lillington, NC 27546-5621

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110119001116 NC Practitioner - Optometry 1456530724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1468NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care Optometry, P.a. Optometrist CurrentSince Jan 1, 2011 Accepting new patients
Charles V. Sikes Jr Optometrist Past Accepting new patients

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1468 NC Primary

Addresses

Primary practice location

210 West Ivey Street
Lillington, NC 27546-5621

Mailing address

PO Box 430
Lillington, NC 27546-5621
Phone (910) 893-5711

Other identifiers 2

IdentifierTypeStateIssuer
5916665MedicaidNC
8909713MedicaidNC

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1265480271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465621",
            "telephone_number": "910-893-5711",
            "fax_number": "910-893-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WEST IVEY STREET",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465621",
            "telephone_number": "910-893-5711",
            "fax_number": "910-893-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916665",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909713",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.