Individual provider Active NPI

William Vance Smith Jr., O.D.

  • Optometrist
  • Hot Springs, AR
National Provider Identifier
1629130745
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2180 Issued in AR
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.