Kris Edward Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2122 Issued in FL

Practice address

792 S US Highway 1
Vero Beach, FL 32962-4701

Phone

(772) 770-2020

Fax

(772) 770-4617

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Steven Horner, O.D.

  • Optometrist
  • Vero Beach, FL
  • NPI 1881662260
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LKS Holdings, Inc.

  dba VisionPlus

  • Eyewear Supplier
  • Vero Beach, FL
  • NPI 1336294347
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578624813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 S US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624701",
            "telephone_number": "772-770-2020",
            "fax_number": "772-770-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624701",
            "telephone_number": "772-770-2020",
            "fax_number": "772-770-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRIS",
        "middle_name": "EDWARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Smith, APRN
• Jacqueline Gajewski Smith, APRN
• Jill Smith, L.M.T.
• Kaylie Vanessa Smith, DPT
• Kimberly L Smith
• Lori Smith, PHARMD
• Mariah Smith
• Michele Diane Smith, M.A. LMHC
• Nicole Smith, APRN, FNP-BC
• Stacy P Smith, C-PA

• Optometrist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.