Active NPI
David P Smith OD Apc
- Optometrist
- Henderson, NV
National Provider Identifier
1306169347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 128
- Legal business name
- DAVID P SMITH OD APC
- Practice address
- 1485 W Warm Springs Rd Ste 106
Henderson, NV 89014-7632 - Phone
- (702) 433-1102
- Fax
- (702) 433-1916
- NPI assigned
- Mar 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David P Smith, OD
- Title
- President
- Phone
- (702) 433-1102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 128 | NV | Primary |
Addresses
Primary practice location
1485 W Warm Springs Rd Ste 106
Henderson, NV 89014-7632
Mailing address
1485 W Warm Springs Rd Ste 106
Henderson, NV 89014-7632
Phone (702) 433-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002502575 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
1485 W Warm Springs Rd
Ste 106
Henderson, NV 89014
Phone (702) 433-1102
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Battle Creek, MI
- NPI 1144691221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1306169347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 W WARM SPRINGS RD STE 106",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147632",
"telephone_number": "702-433-1102",
"fax_number": "702-433-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 W WARM SPRINGS RD STE 106",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147632",
"telephone_number": "702-433-1102",
"fax_number": "702-433-1916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID P SMITH OD APC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-04",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-433-1102",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NV",
"license": "128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002502575",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
- Brittnee Davenport, DO
- Kathrynn Ann Davenport
- David a Stella DC PC
- David L Mahon DDS LTD
- David M. Campbell, DDS, a Professional Corporation
- David R. Ferrell, M.D., P.C.
- David S. Gothelf, a Professional Corporation
- David T Chan MD Professional Corporation
- Roxanne Denise David, DMD
- James R Davidson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.