Gary Steven Smith, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1462 Issued in NC

Practice address

2400 N Croatan Hwy
Kill Devil Hills, NC 27948-9355

Phone

(252) 441-2000

Fax

(252) 441-1834

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Affordable Optical, LLC

  • Customized Equipment (DME)
  • Kill Devil Hills, NC
  • NPI 1528233319
  Authorized official Same address or phone

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316014582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489355",
            "telephone_number": "252-441-2000",
            "fax_number": "252-441-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489355",
            "telephone_number": "252-441-2000",
            "fax_number": "252-441-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "1462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Irby Smith DDS PA
• Brooke Scarborough, BT
• Rikki Rose Schuster, PA
• Sean L. Chapman, D.M.D., P.L.L.C. (First Flight Dental)
• Harvey Hatcher Shiflet V, DMD
• Nicole Smith
• Samuel Irby Smith I, DDS, PA
• Spring Arbor Kill Devil Hills NC Tenant, LLC (Spring Arbor Outer Banks)
• Spring Arbor of Nags Head, L.P. (T/A Spring Arbor of the Outer Banks)
• Spring Arbor of Nags Head, L.P.

• Optician in Kill Devil Hills, NC
• Providers in Kill Devil Hills, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.