Individual provider Active NPI

Hunter Creed Smith, OD

  • Optometrist
  • Crossett, AR
National Provider Identifier
1467079079
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2813 Issued in AR
Practice address
1602 Main St
Crossett, AR 71635-4154
Phone
(870) 364-8996
Fax
(870) 364-7363
NPI assigned
Jun 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2813 AR Primary

Addresses

Primary practice location

1602 Main St
Crossett, AR 71635-4154

Mailing address

1602 Main St
Crossett, AR 71635-4154
Phone (870) 364-8996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715000556 AR Practitioner - Optometry 1951724517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare Associates of Crossett, PAGroup PAC ID 6103994132, 2 clinicians

Practice addresses (Care Compare)

1602 Main St
Crossett, AR 71635-4154
Phone 8703648996218

Merit-based Incentive Payment System (MIPS)

Final score
38.81 of 100Reported as group
Quality
77.62
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1467079079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 MAIN ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354154",
            "telephone_number": "870-364-8996",
            "fax_number": "870-364-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 MAIN ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354154",
            "telephone_number": "870-364-8996",
            "fax_number": "870-364-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HUNTER",
        "middle_name": "CREED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.