Leland Kelly Smith III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2660 Issued in FL

Practice address

2451 N McMullen Booth Rd
Suite 221
Clearwater, FL 33759-1356

Phone

(727) 216-6214

Fax

(727) 431-0363

NPI assigned

Nov 1, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Southern College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Vision Partners PLLCGroup PAC ID 3173804523, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Mobile Vision Partners, P.L.L.C.

  • Optometrist
  • Clearwater, FL
  • NPI 1750746095
  Medicare reassignment Care Compare group NPD Authorized official
• Optometric Associates of Florida, P.a.

  • Optometrist
  • Largo, FL
  • NPI 1346316676
  NPD (past)
• The Eye Physicians of Pinellas, PA

  • Ophthalmology Physician
  • Largo, FL
  • NPI 1114925153

  Optometrist

  NPD (past)
• The Eye Physicians of Pinellas, PA

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
  • NPI 1366710741
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1356428684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 221",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591356",
            "telephone_number": "727-216-6214",
            "fax_number": "727-431-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 221",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591356",
            "telephone_number": "727-216-6214",
            "fax_number": "727-431-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LELAND",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC/PTAN",
            "identifier": "1235440001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620094000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylie Marie Smith, PHARM.D
• Kenneth Smith
• Laura O Smith, ARNP
• Lauren Smith
• Lee David Smith, DPM
• Marcie D Smith, COTA
• Megan Rae Smith
• Michele S Smith, APRN
• Peter Christian Smith, MD
• Rachel Smith

• Optometrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.