Individual provider Active NPI

Lindley Theodore Smith, MD

  • Ophthalmology Physician
  • Richmond, VA
National Provider Identifier
1508914680
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101025383 Issued in VA
Practice address
1510 N 28TH St
Suite 201
Richmond, VA 23223-5311
Phone
(804) 225-7286
Fax
(804) 222-5836
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101025383 VA Primary

Addresses

Primary practice location

1510 N 28TH St
Suite 201
Richmond, VA 23223-5311

Mailing address

14002 Bayport Landing Ter
Midlothian, VA 23112-2038
Phone (804) 739-7821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000480 VA Practitioner - OphthalmologyPractitioner - Preventive Medicine 9830191196 Practice locations: Richmond, VA

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Preventive Medicine
Education
Meharry Medical College School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1510 N 28TH St
Suite 201
Richmond, VA 23223-5311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Avm Consulting LTD Ophthalmology Past Accepting new patients
Carl D. Outen, MD, PC Ophthalmology PastSince Nov 30, 2010 Accepting new patients
Eye Care Center of Virginia PC PastSince Jul 1, 2019 Accepting new patients

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1508914680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 BAYPORT LANDING TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122038",
            "telephone_number": "804-739-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N 28TH ST",
            "address_2": "SUITE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235311",
            "telephone_number": "804-225-7286",
            "fax_number": "804-222-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDLEY",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101025383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.