Individual provider Active NPI

Barry Roger Smith, M.D.

  • Ophthalmology Physician
  • Visalia, CA
National Provider Identifier
1548200488
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G42253 Issued in CA
Practice address
5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone
(559) 627-9393
Fax
(559) 627-1624
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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 G42253 CA Primary

Addresses

Primary practice location

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310

Mailing address

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393

Other identifiers 1

IdentifierTypeStateIssuer
00G422530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040309000903 CA Practitioner - Ophthalmology 3173418365 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42253CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Dec 15, 2010 Accepting new patients
County of Tulare CurrentSince Dec 15, 2010 Accepting new patients
Sierra Nurse Anesthesia PastSince Nov 3, 2020 Accepting new patients
Kaweah Delta Health Care District PastSince Jan 1, 2004 Accepting new patients

Locations

660 E Visalia Rd
Farmersville, CA 93223
Phone (559) 594-6788

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1548200488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARRY",
        "middle_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G42253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G422530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.