Individual provider Active NPI

Brent A Smith, O.D.

  • Optometrist
  • York, PA
National Provider Identifier
1306286091
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002815 Issued in PA
Practice address
116 S George St
York, PA 17401
Phone
(717) 845-8617
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002815 PA Primary

Addresses

Primary practice location

116 S George St
York, PA 17401

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 801-4846

Other practice location 1

2791 S Queen St
Dallastown, PA 17313-9540
Phone (717) 741-4788 ext. 1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130828000727 PA Practitioner - Optometry 8921241647 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyntre Brooke Eye Associates IncGroup PAC ID 6002134319, 2 clinicians
Family First Health CorporationGroup PAC ID 8022910207, 23 clinicians
Willow Street Eye Care, LLCGroup PAC ID 1951663558, 3 clinicians

Practice addresses (Care Compare)

10 Wyntre Brooke Dr
York, PA 17403-4535
Phone (717) 848-2020

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

2904 Willow St Pike N
Suite 1
Willow Street, PA 17584-9227
Phone (717) 464-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Family First Health Corporation CurrentSince Mar 27, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Willow Street Eye Care, LLC Optometrist CurrentSince Nov 18, 2020 Accepting new patients
Wyntre Brooke Eye Associates, Inc. Optometrist CurrentSince May 20, 2024 Accepting new patients
Lititz Eye Care PC Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Family First Health Corporation CurrentSince Mar 27, 2025 Accepting new patients

Locations

2791 S Queen St
Dallastown, PA 17313
Phone (717) 741-4788

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

65 E Main St
Lititz, PA 17543
Phone (717) 626-8100

2904 Willow Street Pike N
Ste 1
Willow Street, PA 17584
Phone (717) 464-7292

2904 Willow Street Pike N
Willow Street, PA 17584
Phone (717) 391-1084

10 Wyntre Brooke Dr
York, PA 17403
Phone (717) 848-2020

2700 Eastern Blvd
York, PA 17402
Phone (717) 757-7023

116 S George St
York, PA 17401
Phone (717) 801-4846

2155 White St
York, PA 17404
Phone (717) 848-4654

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: brent.smith.1@7492.direct.athenahealth.com

Organizations & group practices 8

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1306286091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-801-4846",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17401",
            "telephone_number": "717-845-8617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2791 S Queen St",
            "address_purpose": "LOCATION",
            "city": "Dallastown",
            "state": "PA",
            "postal_code": "173139540",
            "country_code": "US",
            "telephone_number": "717-741-4788 x1129",
            "fax_number": "717-741-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.