Organization Active NPI

Peter C Smith

  • Eyewear Supplier
  • Clearwater, FL
National Provider Identifier
1427267673
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
ME57479 Issued in FL
Legal business name
PETER C SMITH
Practice address
610 Lakeview Rd
Clearwater, FL 33756-3336
Phone
(727) 446-7578
Fax
(727) 447-1716
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Peter C. Smith, MD
Title
Supervisor
Phone
(727) 446-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X ME57479 FL Primary

Addresses

Primary practice location

610 Lakeview Rd
Clearwater, FL 33756-3336

Mailing address

610 Lakeview Rd
Clearwater, FL 33756-3336
Phone (727) 446-7578

Other identifiers 2

IdentifierTypeStateIssuer
064436600MedicaidFL
990010535OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

610 Lakeview Rd
Clearwater, FL 33756
Phone (727) 442-5114

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1427267673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563336",
            "telephone_number": "727-446-7578",
            "fax_number": "727-447-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563336",
            "telephone_number": "727-446-7578",
            "fax_number": "727-447-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "727-446-7578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME57479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064436600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "990010535",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.