Kevin Smith OD and Associates Inc

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC3456 Issued in FL

Legal business name

KEVIN SMITH OD AND ASSOCIATES INC

Practice address

4117 Henderson Blvd
Tampa, FL 33629-5749

Phone

(813) 207-8984

Fax

(813) 207-8954

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin L Smith, ODNPI 1518945179

Title

Optometrist

Phone

(813) 312-1174

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SOUTH TAMPA EYE SITE Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Kevin L. Smith, O.D.

  • Optometrist
  • Tampa, FL
  • NPI 1518945179

  Corneal and Contact Management

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1487844536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295749",
            "telephone_number": "813-207-8984",
            "fax_number": "813-207-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295749",
            "telephone_number": "813-207-8984",
            "fax_number": "813-207-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN SMITH OD AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "813-312-1174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3456",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC 3456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11221087",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620814201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH TAMPA EYE SITE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn T Kettner, PA
• Nicholas Keuler
• Kristen Miller Keune, PH.D.
• Kevin L Klein DO PA
• Kevin Smith OD and Associates Inc
• Key Assets Florida, Inc.
• Key Companionship Partners LLC
• Key Health Plans, Inc.
• Erika Key
• Islena Luceth Keyes, RD, LD

• Corneal and Contact Management Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.