Paul R. Smith, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 002208 Issued in GA

Practice address

216 Corder Rd.
Gayton Health Centre, PC Dba Eyesight Associates
Warner Robins, GA 31088

Phone

(478) 987-5500

Fax

(478) 988-4628

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossroads Family Eye Care LLC

  • Optometrist
  • Perry, GA
  • NPI 1497131130
  Medicare reassignment NPD Authorized official
• Perry Family Medical Associates, PC

  • Family Medicine Physician
  • Perry, GA
  • NPI 1952312365
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1689631293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CORDER RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-923-5872",
            "fax_number": "478-922-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CORDER RD.",
            "address_2": "GAYTON HEALTH CENTRE, PC DBA EYESIGHT ASSOCIATES",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-987-5500",
            "fax_number": "478-988-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "R.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 002208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251846613A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Edward Smith
• James Allen Smith
• James Charles Smith, D.C.
• Jennifer Leigh Perry Smith, CNM
• Melissa Christine Smith, RN BC PMHNP
• Paula W Smith, LPN
• Quatara Smith
• Richard Lyndon Smith Jr., M.D.
• Savannah Brady Smith, PA-C
• Shaniqua Smith

• Optometrist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.