Individual provider Active NPI

Theron C Smith, O.D.

  • Optometrist
  • Greer, SC
National Provider Identifier
1477516987
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
556 Issued in SC
Practice address
1014 W Poinsett St
Greer, SC 29650-1315
Phone
(864) 877-4731
Fax
(864) 877-6320
NPI assigned
Apr 7, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 556 SC Primary

Addresses

Primary practice location

1014 W Poinsett St
Greer, SC 29650-1315

Mailing address

1014 W Poinsett St
Greer, SC 29650-1315
Phone (864) 877-4731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110505000574 SC Practitioner - Optometry 3375682081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
556SCMDFoot & Ankle Surgery Podiatrist
1067NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center of SC, P.a. Optometrist CurrentSince Mar 15, 2019 Accepting new patients

Locations

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

1014 W Poinsett St
Greer, SC 29650
Phone (864) 877-4011

419 SE Main St
Ste 300
Simpsonville, SC 29681
Phone (864) 388-9663

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1477516987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501315",
            "telephone_number": "864-877-4731",
            "fax_number": "864-877-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501315",
            "telephone_number": "864-877-4731",
            "fax_number": "864-877-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THERON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.