Individual provider Active NPI

Trevor Alan Smith, M.D.

  • Ophthalmology Physician
  • Wyoming, MI
National Provider Identifier
1376957043
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301117194 Issued in MI
Practice address
2225 Main St SW Ste 140
Wyoming, MI 49519-9697
Phone
(616) 287-5495
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301117194 MI Primary

Addresses

Primary practice location

2225 Main St SW Ste 140
Wyoming, MI 49519-9697

Mailing address

2225 Main St SW Ste 140
Wyoming, MI 49519-9697
Phone (616) 323-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190510000073 MI Practitioner - Ophthalmology 5890911770 Reassigns benefits to 3 organizations
I20230526002364 MT Practitioner - Ophthalmology 5890911770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Eye Care PCGroup PAC ID 8426091992, 12 clinicians

Practice addresses (Care Compare)

2225 Main St SW
Suite 140
Wyoming, MI 49519-9697
Phone (616) 699-5177

2848 Niles Rd
Saint Joseph, MI 49085-3352
Phone (269) 428-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery99
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301117194MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Great Lakes Eye Care PC Ophthalmology CurrentSince Sep 9, 2024 Accepting new patients
Billings Clinic Internal Medicine CurrentSince May 11, 2023 Accepting new patients
Restoration Eye Care PLLC Ophthalmology CurrentSince Aug 7, 2023 Accepting new patients
Billings Clinic Internal Medicine CurrentSince May 11, 2023 Accepting new patients
Michigan Vision Institute PLLC Ophthalmology CurrentSince Jul 30, 2020 Accepting new patients
Kaczmarski Hearing Services, Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

5300 Gateway Ctr
Flint, MI 48507
Phone (810) 720-9111

120 Longmeadow Village Dr
Niles, MI 49120
Phone (269) 684-6400

2848 Niles Rd
Saint Joseph, MI 49085
Phone (269) 428-3300

2225 Main St SW
Ste 140
Wyoming, MI 49519
Phone (616) 323-2002

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

Interoperability endpoints

  • Direct secure messaging: tsmith@restorationeye.emadirect.md

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1376957043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 MAIN ST SW STE 140",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199697",
            "telephone_number": "616-323-2002",
            "fax_number": "616-699-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 MAIN ST SW STE 140",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199697",
            "telephone_number": "616-287-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TREVOR",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301117194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.