Smith Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SMITH VISION CARE LLC

Practice address

200 Costco Way
Saint Peters, MO 63376-4385

Phone

(636) 970-4007

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

Dave Smith, OD

Title

Ceo

Phone

(314) 276-2217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1689329336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COSTCO WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764385",
            "telephone_number": "636-970-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COSTCO WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764385",
            "telephone_number": "636-970-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-276-2217",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Carl Skillen, PT
• Alexander Martin Skopec, MD
• Sanda Smajlovic-Gunn
• Renee Elizabeth Toebe Smart
• Charles Smerz, LCSW
• Allison Kay Smith
• Doris M Smith, COTA
• Kelsey Caitlin Smith, DDS, MD
• Mary A Smith, DDS
• Sarah Ann Smith, D.D.S.

• Optometrist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.