Stephen E Smith, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME75617 Issued in FL

Practice address

4225 Evans Ave
Fort Myers, FL 33901-9311

Phone

(239) 936-8655

Fax

(239) 936-8683

NPI assigned

Sep 21, 2005

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

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Morehouse School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen E Smith MD PAGroup PAC ID 8426031964, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sesmithmd@eafm.direct.eyemdemr.com

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.

• Eye Associates of Southwest Florida, M.D.,P.a.

  • Ophthalmology Physician
  • Naples, FL
  • NPI 1619937554
  Medicare reassignment NPD Authorized official
• Stephen E Smith MD PA

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1760442677
  Medicare reassignment Care Compare group NPD
• George Corrent PA

  • Ophthalmology Physician
  • Naples, FL
  • NPI 1083890602
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1366438855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019311",
            "telephone_number": "239-936-8655",
            "fax_number": "239-936-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019311",
            "telephone_number": "239-936-8655",
            "fax_number": "239-936-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME75617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254549702",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SESmithMD@eafm.direct.eyemdemr.com",
            "affiliation": "Y",
            "affiliationName": "STEPHEN E SMITH MD PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4225 Evans Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339019311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Smith
• Paige Smith, PA
• Rebekah Smith
• Rosa Smith, APRN-BC
• Shauna Marie Smith, FNP-C, APRN
• Troy W Smith, PT
• Cornelis Smits, CRNA
• Jennifer Swenson Smock, MS
• Kellie Smolenski, PT, DPT
• Albert E Smolyar, MD

• Ophthalmology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.