Individual provider Active NPI

Kay L Smarzinski, O.D.

  • Optometrist
  • Fremont, CA
National Provider Identifier
1609810290
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12568 Issued in CA
Practice address
38069 Martha Ave
Suite 200
Fremont, CA 94536-3811
Phone
(510) 791-5272
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1492 AZ
Optometrist 152W00000X 12568 CA Primary

Addresses

Primary practice location

38069 Martha Ave
Suite 200
Fremont, CA 94536-3811

Mailing address

3425 E Chandler Blvd Apt 121
Phoenix, AZ 85048-5839
Phone (650) 930-0119

Other names 1

  • Kay L Dombkowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12568CAMDAddiction (Substance Use Disorder) Counselor
1492AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond F Pedersen O.D. Professional Optometrist PastSince May 1, 2016 Accepting new patients
Stella Levin, O.D. a Professional Corporation Optometrist PastSince Jan 1, 2018 Accepting new patients

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1609810290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 E CHANDLER BLVD APT 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850485839",
            "telephone_number": "650-930-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38069 MARTHA AVE",
            "address_2": "SUITE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363811",
            "telephone_number": "510-791-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARZINSKI",
        "first_name": "KAY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1492",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "DOMBKOWSKI",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.