Individual provider Active NPI

Steven Donald Smith, AN OPTOMETRIC CORP

  • Optometrist
  • Rancho Santa Margarita, CA
National Provider Identifier
1295860864
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9092T Issued in CA
Practice address
30212 Tomas Ste 170
Rancho Santa Margarita, CA 92688-2174
Phone
(949) 589-0900
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9092T CA Primary

Addresses

Primary practice location

30212 Tomas Ste 170
Rancho Santa Margarita, CA 92688-2174

Mailing address

30212 Tomas Ste 170
Rancho Santa Margarita, CA 92688-2174
Phone (949) 589-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081110000779 CA Practitioner - Optometry 0547329229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

30212 Tomas
Suite 170
Rancho Santa Margarita, CA 92688-2174
Phone (949) 589-0900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9092TCAMDOptometrist
9092CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Aug 12, 2019 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients

Locations

333 Corporate Dr
Ste 120
Ladera Ranch, CA 92694
Phone (949) 218-2020

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

30212 Tomas
Rancho Santa Margarita, CA 92688
Phone (949) 709-8770

30212 Tomas
Ste 170
Rcho Sta Marg, CA 92688
Phone (949) 589-0900

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1295860864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 170",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882174",
            "telephone_number": "949-589-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 170",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882174",
            "telephone_number": "949-589-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "AN  OPTOMETRIC CORP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9092T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.