Organization Active NPI

Christopher a Smith OD PA

  • Optometrist
  • El Dorado, KS
National Provider Identifier
1366730905
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1826 Issued in KS
Legal business name
CHRISTOPHER A SMITH OD PA
Practice address
2422 W Central Ave
Suite C
El Dorado, KS 67042-3239
Phone
(316) 452-5999
NPI assigned
Jul 18, 2011
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Christopher Allen Smith, O.D.NPI 1881850402
Title
President/Owner
Phone
(316) 708-9992

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
Optometrist 152W00000X 1826 KS Primary

Addresses

Primary practice location

2422 W Central Ave
Suite C
El Dorado, KS 67042-3239

Mailing address

8501 W Candlewood St
Wichita, KS 67205-8617
Phone (316) 708-9992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000716 KS Part B Supplier - Clinic/Group Practice 1052580826 Receives reassigned benefits from 2 practitioners
Practice locations: El Dorado, KS; Wichita, KS

National Provider Directory

National Provider Directory

Locations

2422 W Central Ave
Ste C
El Dorado, KS 67042
Phone (316) 452-5999

670 E 47th St S
Wichita, KS 67216
Phone (316) 529-3905

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1366730905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 W CANDLEWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058617",
            "telephone_number": "316-708-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 W CENTRAL AVE",
            "address_2": "SUITE C",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670423239",
            "telephone_number": "316-452-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER A SMITH OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "316-708-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.