Kaitlyn Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5632 Issued in FL

Practice address

104 Marcia Dr
Altamonte Springs, FL 32714-2913

Phone

(407) 862-7234

NPI assigned

Feb 4, 2019

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 names 1

• Kaitlyn Sanchez Former name

Medicare fee-for-service enrollment

Enrolled in WI, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1649735614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARCIA DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARCIA DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142913",
            "telephone_number": "407-862-7234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 N Highway 19A",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327572042",
            "country_code": "US",
            "telephone_number": "352-483-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "SANCHEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Christine Small, AP, DIPL. OM
• Smileluxe, PA
• Caroline Elizabeth Smith, D.P.M
• Ceasha Smith
• Deborah Jean Smith, PSY.D.
• Nancy Sue Williamson Smith, LCSW
• Shenell Smith
• Tasha Lee Smith, APRN
• Vernon S. Smith, DMD
• Kaelynn Joy Snedeker

• Optometrist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.