Individual provider Active NPI

Ashley Becking Smith, OD

  • Optometrist
  • Blythewood, SC
National Provider Identifier
1578055943
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2106 Issued in SC
Practice address
204 Langford Rd
Blythewood, SC 29016-8648
Phone
(803) 714-1116
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2106 SC Primary

Addresses

Primary practice location

204 Langford Rd
Blythewood, SC 29016-8648

Mailing address

1716 University Blvd G090A
Birmingham, AL 35294-0010
Phone (205) 975-2020

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
I20190925004045 SC Practitioner - Optometry 9638427602 Reassigns benefits to 2 organizations
Practice locations: Greenville, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Sara Beaver LLCGroup PAC ID 3577833706, 3 clinicians

Practice addresses (Care Compare)

204 Langford Rd
Blythewood, SC 29016-8648
Phone (803) 714-1116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2106SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sara Beaver, LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Greenville Eyecare Associates PA Optometrist CurrentSince Jun 1, 2020 Accepting new patients

Locations

204 Langford Rd
Blythewood, SC 29016
Phone (803) 714-1116

1212 Haywood Rd
Ste 600
Greenville, SC 29615
Phone (864) 234-7700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1578055943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD G090A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LANGFORD RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168648",
            "telephone_number": "803-714-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "BECKING",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

Verify at the official NPI Registry.