Smith Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005868 Issued in NY

Legal business name

SMITH OPTOMETRY PC

Practice address

401 E 34TH St
South 3B
New York, NY 10016-4914

Phone

(212) 679-0766

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth C SmithNPI 1568436095

Title

President

Phone

(212) 679-0766

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Kenneth C. Smith, O.D.

  • Optometrist
  • New York, NY
  • NPI 1568436095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333756800000",
    "number": "1356360549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 34TH ST",
            "address_2": "SOUTH 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164914",
            "telephone_number": "212-679-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 34TH ST",
            "address_2": "SOUTH 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164914",
            "telephone_number": "212-679-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-04-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-679-0766"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03163848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Boldog Smirniotopoulos, M.D.
• Margaret Smirnoff, FNP
• Benjamin Rogin Smit, PT, DPT, CSCS
• Smith Creative Arts Therapy
• Karen Smith Moore, LCSW
• Sara Smith Sell
• Jenna Smith-Lorenzetti
• Eleise Smith-Menjivar, CASE MANAGER
• Cynthia Smith-Miller
• Rebecca Faith Smith-Mingus, DNP, APRN, FNP-C

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2012; 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.