Organization Active NPI

Dr. Gary T Smith Family Eye Care Inc

  • Durable Medical Equipment & Medical Supplies
  • South Williamson, KY
National Provider Identifier
1437337144
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR. GARY T SMITH FAMILY EYE CARE INC
Practice address
79 Mall Road
Southside Professional BLDG, Suite a
South Williamson, KY 41503
Phone
(606) 237-4551
Fax
(606) 237-4592
NPI assigned
Feb 5, 2008
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Gary Thomas Smith, O.D.NPI 1689756199
Title
Optometrist
Phone
(606) 237-4551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

79 Mall Road
Southside Professional BLDG, Suite a
South Williamson, KY 41503

Mailing address

79 Mall Road
Southside Professional BLDG, Suite a
South Williamson, KY 41503
Phone (606) 237-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081222000470 KY Part B Supplier - Clinic/Group Practice 9638231897 Receives reassigned benefits from 1 practitioner
Practice locations: South Williamson, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1437337144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MALL ROAD",
            "address_2": "SOUTHSIDE PROFESSIONAL BLDG, SUITE A",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "41503",
            "telephone_number": "606-237-4551",
            "fax_number": "606-237-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MALL ROAD",
            "address_2": "SOUTHSIDE PROFESSIONAL BLDG, SUITE A",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "41503",
            "telephone_number": "606-237-4551",
            "fax_number": "606-237-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY T SMITH FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "606-237-4551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.