Individual provider Active NPI

Steve L. Smith, O.D.

  • Optometrist
  • Claremore, OK
National Provider Identifier
1386630721
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
870 Issued in OK
Practice address
212 E Blue Starr Dr
Claremore, OK 74017-4223
Phone
(918) 341-8211
Fax
(918) 341-8233
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 870 OK Primary

Addresses

Primary practice location

212 E Blue Starr Dr
Claremore, OK 74017-4223

Mailing address

212 E Blue Starr Dr
Claremore, OK 74017-4223
Phone (918) 341-8211

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070214000308 OK Practitioner - Optometry 6800898206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steve L Smith OD Professional Corporation Optometrist CurrentSince Nov 1, 2009 Accepting new patients

Locations

212 E Blue Starr Dr
Claremore, OK 74017
Phone (918) 341-8211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1386630721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174223",
            "telephone_number": "918-341-8211",
            "fax_number": "918-341-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174223",
            "telephone_number": "918-341-8211",
            "fax_number": "918-341-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.