Griffin Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2863 Issued in AR

Practice address

1120 S Main St
Malvern, AR 72104-5224

Phone

(501) 332-2012

Fax

(501) 332-8403

NPI assigned

Mar 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1336848142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045224",
            "telephone_number": "501-332-2012",
            "fax_number": "501-332-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045224",
            "telephone_number": "501-332-2012",
            "fax_number": "501-332-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Kids Therapy LLC
• Desiree Skeya
• Madilyn Slagle
• Abrigail Smith
• Bailey Michele Smith
• Jordan Smith
• Nicole Smith, RN
• Rebecca Smith
• Sasha Smith, RECOVERY ADVOCATE
• Teresa Smith, MHPP

• Optometrist in Malvern, AR
• Providers in Malvern, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.