Shannon L Smith, MD FACS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

H2797 Issued in TX

Practice address

3302 NE Stallings Dr
Nacogdoches, TX 75965-8727

Phone

(936) 564-3600

Fax

(936) 564-3770

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

OphthalmologyAlso: Optometry

Education

University of Texas Medical Branch at Galveston, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shannon L Smith MD PAGroup PAC ID 1759460827, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.87 of 100Reported as individual

Quality

99.74

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shannon L Smith MD PA

  • Ophthalmology Physician
  • Nacogdoches, TX
  • NPI 1750550224

  Ophthalmology, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Medical Arts Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Nacogdoches, TX
  • NPI 1306989249

  TX

  Medicare reassignment NPD Authorized official
• Shannon L. Smith MD PA

  • Durable Medical Equipment & Medical Supplies
  • Nacogdoches, TX
  • NPI 1326262825

  Ophthalmology

  Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1598876237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759658727",
            "telephone_number": "936-564-3600",
            "fax_number": "936-564-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759658727",
            "telephone_number": "936-564-3600",
            "fax_number": "936-564-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H2797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID; TYPE UNSPECIFIED",
            "identifier": "8F7718",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127607302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BB470",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00Y956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Smith, LPC
• Jeff Smith, MS, ATC, LAT
• Jeremy Scott Smith, MD
• Laura Louise Smith, LPC
• Ryan Reay Smith
• David D Smyers, MD
• Tiffany Snider, RN, BSN
• Dolamu Olumide Bamidele Sokunbi, M.D.
• Modupe Arinuke Sokunbi, MD
• Vanessa Solis, RN

• All providers in Nacogdoches, TX
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.