Dr. Gary T Smith Family Eye Care Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · South Williamson, KY

NPI 1437337144 · NPPES record last updated Feb 5, 2008

Key facts

NPI
1437337144
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 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
Organization subpart
No

Authorized official

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

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

Specialties & licenses

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

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

Other providers in South Williamson, KY

All providers in South Williamson, KY · Durable Medical Equipment & Medical Supplies in Kentucky

Sources for this page

Verify at the official NPI Registry.