Active NPI
William Vance Smith Jr., O.D.
- Optometrist
- Hot Springs, AR
National Provider Identifier
1629130745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2180
- Practice address
- 1601 Albert Pike Rd
Hot Springs, AR 71913-4020 - Phone
- (501) 620-4300
- Fax
- (501) 624-2695
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2180 | AR | Primary |
Addresses
Primary practice location
1601 Albert Pike Rd
Hot Springs, AR 71913-4020
Mailing address
116 Viewpoint Cir
Hot Springs, AR 71913-9702
Phone (501) 620-4300
Other names 1
- Dr. W. Van Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070327000149 | AR | Practitioner - Optometry | 2466404165 | Practice locations: Hot Springs, AR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629130745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 VIEWPOINT CIR",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719139702",
"telephone_number": "501-620-4300",
"fax_number": "501-624-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 ALBERT PIKE RD",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719134020",
"telephone_number": "501-620-4300",
"fax_number": "501-624-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "VANCE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "W.",
"last_name": "SMITH",
"middle_name": "VAN",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.