Organization Active NPI

Kenneth R. Smith, P.C.

Doing business as Ophthalmology Associates

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1346470432
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.29630 Issued in AL
Legal business name
KENNETH R. SMITH, P.C.
Doing business as
Ophthalmology Associates
Practice address
840 Montclair Rd
Suite 722
Birmingham, AL 35213-1920
Phone
(205) 591-2311
Fax
(205) 592-3531
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Dr. Kenneth Randall Smith, M.D.NPI 1225152192
Title
Ceo/Surgeon
Phone
(205) 591-2311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD.29630 AL Primary

Addresses

Primary practice location

840 Montclair Rd
Suite 722
Birmingham, AL 35213-1920

Mailing address

840 Montclair Rd
Suite 722
Birmingham, AL 35213-1920
Phone (205) 591-2311

Other names 1

  • Ophthalmology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000045 AL Part B Supplier - Clinic/Group Practice 0547316077 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

840 Montclair Rd
Ste 722
Birmingham, AL 35213
Phone (205) 591-2311

833 Saint Vincents Dr
Ste 207
Birmingham, AL 35205
Phone (205) 591-2311

833 Saint Vincents Dr
Ste 208
Birmingham, AL 35205

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1346470432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MONTCLAIR RD",
            "address_2": "SUITE 722",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131920",
            "telephone_number": "205-591-2311",
            "fax_number": "205-592-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MONTCLAIR RD",
            "address_2": "SUITE 722",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131920",
            "telephone_number": "205-591-2311",
            "fax_number": "205-592-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. SMITH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CEO/SURGEON",
        "authorized_official_telephone_number": "205-591-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.29630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophthalmology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.