Gregory Michael Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001601 Issued in VA

Practice address

3259 Catlin Ave
Naval Medical Clinic Quantico
Quantico, VA 22134

Phone

(703) 784-1634

Fax

(703) 784-1635

NPI assigned

Aug 14, 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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Pennsylvania College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• P H S Indian Hospital-Ft Belknap at Harlem - Cah Hospital, Harlem, MT, CCN 271315

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment Care Compare group NPD
• U S Health Dept of Health & Human Services

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• U S Health Dept of Health & Human Services

  • Critical Access Hospital Clinic/Center
  • Harlem, MT
  • NPI 1942367842
  NPD

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

• U S Health Dept of Health & Human Services

  • Critical Access Hospital Clinic/Center
  • Hays, MT
  • NPI 1174660245
  Care Compare affiliation
• U S Health Dept of Health & Human Services

  • Critical Access Hospital Clinic/Center
  • Harlem, MT
  • NPI 1942367842
  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396758017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HICKORY RIDGE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051402",
            "telephone_number": "215-850-7892",
            "fax_number": "703-784-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 CATLIN AVE",
            "address_2": "NAVAL MEDICAL CLINIC QUANTICO",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "22134",
            "telephone_number": "703-784-1634",
            "fax_number": "703-784-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED STATES NAVY",
            "identifier": "1880196",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Shelton Graessle, PA
• Nancy Sachie Shinozuka-Johnson, AGPCNP-BC
• David Lee Shiveley, M.D., M.P.H.
• Charles Simerman, DO
• Sabrina Judie Sincere, DDS
• Ryeheine Smith, IDC
• Evelyn G St Marie
• Bruce Albert Stinnett V, MD
• Stephen John Stoecker, PT
• Carrie Ann Storer, DPT, OCS

• Optometrist in Quantico, VA
• Providers in Quantico, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.