Kerry Smithson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

109834-9934 Issued in UT

Practice address

5469 S Redwood Rd
Wal-Mart Vision Center
Taylorsville, UT 84123-5318

Phone

(801) 261-1271

Fax

(801) 264-7942

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Standard Optical

  • Optometrist
  • West Jordan, UT
  • NPI 1386800639
  NPD (past)
• Standard Optical Company

  • Optometrist
  • West Point, UT
  • NPI 1659958841
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407968969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BULLION ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235402",
            "telephone_number": "801-261-3228",
            "fax_number": "801-264-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5469 S REDWOOD RD",
            "address_2": "WAL-MART VISION CENTER",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235318",
            "telephone_number": "801-261-1271",
            "fax_number": "801-264-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "109834-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Shyann Smith
• Savannah Smith
• Sydnee Smith
• Victoria Smith
• Brady Smithson
• Skyler Snarr
• Ashley Snoke
• Bronson Snyder
• Julia Snyder
• Kailee Snyder

• All providers in Taylorsville, UT
• Optometrist in Utah

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.