Individual provider Active NPI

William Colin Smith, O.D.

  • Optometrist
  • Milwaukee, WI
National Provider Identifier
1497138341
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3389-35 Issued in WI
Practice address
3925 S 76TH St
Milwaukee, WI 53220-2320
Phone
(262) 352-2560
Fax
(414) 543-9130
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3389-35 WI Primary

Addresses

Primary practice location

3925 S 76TH St
Milwaukee, WI 53220-2320

Mailing address

3925 S 76TH St
Milwaukee, WI 53220-2320
Phone (262) 352-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160810002666 WI Practitioner - Optometry 8820382005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3389-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Optical Inc Optometrist CurrentSince Jun 1, 2023 Accepting new patients
262 Eyes Current Accepting new patients
Mueller Eye Care LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients

Locations

3925 S 76th St
Milwaukee, WI 53220
Phone (414) 543-2900

8907 S Howell Ave
Ste 600
Oak Creek, WI 53154
Phone (414) 764-2651

Organizations & group practices 3

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1497138341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202320",
            "telephone_number": "262-352-2560",
            "fax_number": "414-543-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202320",
            "telephone_number": "262-352-2560",
            "fax_number": "414-543-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3389-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.