Active NPI
Kay L Smarzinski, O.D.
- Optometrist
- Fremont, CA
National Provider Identifier
1609810290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12568 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 1492 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond F Pedersen O.D. Professional | Optometrist | Past | Accepting new patients |
| Stella Levin, O.D. a Professional Corporation | Optometrist | Past | 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.
-
- Optometrist
- Fremont, CA
- NPI 1467589077
-
- Optometrist
- Fremont, CA
- NPI 1114438843
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.