Organization Active NPI

Ronald S Smith OD PA

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1659557544
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2563 Issued in FL
Legal business name
RONALD S SMITH OD PA
Practice address
4623 Forest Hill Blvd
107
West Palm Beach, FL 33415-7469
Phone
(561) 967-2020
Fax
(561) 967-6304
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Dr. Ronald S Smith, ODNPI 1912021650
Title
Optometrist Sole Proprietor
Phone
(561) 967-6304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2563 FL Primary

Addresses

Primary practice location

4623 Forest Hill Blvd
107
West Palm Beach, FL 33415-7469

Mailing address

4623 Forest Hill Blvd
107
West Palm Beach, FL 33415-7469
Phone (561) 967-2020

National Provider Directory

National Provider Directory

Locations

4623 Forest Hill Blvd
Ste 107
West Palm Beach, FL 33415
Phone (561) 445-9979

4623 Forest Hill Blvd
West Palm Beach, FL 33415
Phone (561) 965-7000

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1659557544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD",
            "address_2": "107",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157469",
            "telephone_number": "561-967-2020",
            "fax_number": "561-967-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD",
            "address_2": "107",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157469",
            "telephone_number": "561-967-2020",
            "fax_number": "561-967-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S SMITH OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST SOLE PROPRIETOR",
        "authorized_official_telephone_number": "561-967-6304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.