Active NPI
Abigail Lorraine Smith Kendall, OD
- Pediatric Optometrist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 2021021137
- Practice address
- 3215 Wingate CT
Columbia, MO 65201-7214 - Phone
- (573) 884-3937
- Fax
- (573) 884-4868
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2021021137 | MO | |
| Optometrist | 152W00000X | S-E63-TA-B74 | AL | |
| Pediatric Optometrist | 152WP0200X | 2021021137 | MO | Primary |
Addresses
Primary practice location
3215 Wingate CT
Columbia, MO 65201-7214
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other names 1
- Abigail Lorraine Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3215 Wingate CT
102 Eye Institute East
Columbia, MO 65201-7689
Phone (573) 882-8920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-E63-TA-B74 | AL | MD | Optometrist |
| 2021021137 | MO | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Alabama at Birmingham | Optometrist | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients |
Locations
1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899
1716 University Blvd
Birmingham, AL 35294
1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
3215 Wingate Ct
Ste 102
Columbia, MO 65201
Phone (573) 882-8920
3215 Wingate Ct
Columbia, MO 65201
Phone (573) 882-8920
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
dba UAB Health Center Montgomery
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
dba University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1417579194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 WINGATE CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017214",
"telephone_number": "573-884-3937",
"fax_number": "573-884-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH KENDALL",
"first_name": "ABIGAIL",
"middle_name": "LORRAINE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2021021137",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-E63-TA-B74",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MO",
"license": "2021021137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "SMITH",
"middle_name": "LORRAINE",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.