Individual provider Active NPI

Scott Galen Smith, OD

  • Optometrist
  • Aliquippa, PA
National Provider Identifier
1396795449
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001092 Issued in PA
Practice address
2116 Sheffield Rd
Aliquippa, PA 15001-2732
Phone
(724) 378-2880
Fax
(724) 378-0450
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001092 PA Primary

Addresses

Primary practice location

2116 Sheffield Rd
Aliquippa, PA 15001-2732

Mailing address

2116 Sheffield Rd
Aliquippa, PA 15001-2732
Phone (724) 378-2880

Other identifiers 1

IdentifierTypeStateIssuer
0012771190004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101214000746 PA Practitioner - Optometry 3870606726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2116 Sheffield Rd
Aliquippa, PA 15001-2732
Phone (724) 378-2880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001092PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Scott Smith LLC Optometrist CurrentSince Jun 20, 2003 Accepting new patients

Locations

2116 Sheffield Rd
Aliquippa, PA 15001
Phone (412) 378-2880

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1396795449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 SHEFFIELD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012732",
            "telephone_number": "724-378-2880",
            "fax_number": "724-378-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 SHEFFIELD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012732",
            "telephone_number": "724-378-2880",
            "fax_number": "724-378-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "GALEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012771190004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.