Individual provider Active NPI

Robert Marty Smith, OD

  • Optometrist
  • Lexington, KY
National Provider Identifier
1295754059
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1326DT Issued in KY
Practice address
2353 Alexandria Dr
Suite 350
Lexington, KY 40504-3264
Phone
(859) 224-2655
Fax
(859) 223-7147
NPI assigned
Jul 19, 2006
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1326DT KY Primary

Addresses

Primary practice location

2353 Alexandria Dr
Suite 350
Lexington, KY 40504-3264

Mailing address

2353 Alexandria Dr
Suite 350
Lexington, KY 40504-3264
Phone (859) 224-2655

Other identifiers 1

IdentifierTypeStateIssuer
77013266MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100414000839 KY Practitioner - Optometry 1153458674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lance S Ferguson MD PSCGroup PAC ID 4385625235, 7 clinicians

Practice addresses (Care Compare)

2353 Alexandria Dr
Suite 260
Lexington, KY 40504-3208
Phone (859) 224-2655

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lance S Ferguson MD PSC Optometrist CurrentSince Feb 1, 1994 Accepting new patients

Locations

2353 Alexandria Dr
Ste 260
Lexington, KY 40504
Phone (859) 224-2655

2353 Alexandria Dr
Ste 350
Lexington, KY 40504
Phone (859) 224-2655

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1295754059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 ALEXANDRIA DR",
            "address_2": "SUITE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043264",
            "telephone_number": "859-224-2655",
            "fax_number": "859-223-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 ALEXANDRIA DR",
            "address_2": "SUITE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043264",
            "telephone_number": "859-224-2655",
            "fax_number": "859-223-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "MARTY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1326DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013266",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.