Gary Thomas Smith, D.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

KY1198DT Issued in KY

Practice address

79 Mall Road
Suite a
South Williamson, KY 41503-4079

Phone

(606) 237-4551

Fax

(606) 237-4592

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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.

• Dr. Gary T Smith Family Eye Care Inc

  • Durable Medical Equipment & Medical Supplies
  • South Williamson, KY
  • NPI 1437337144

  KY, Optometrist

  Medicare reassignment NPD Authorized official
• Lambert Eyecare Associates PSC

  • Optometrist
  • South Williamson, KY
  • NPI 1003907726
  NPD (past)

Specialty

Optometry

Education

Southern College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2012.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1689756199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MALL ROAD",
            "address_2": "SOUTHSIDE PROFESSIONAL BLDG, SUITE A",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034079",
            "telephone_number": "606-237-4551",
            "fax_number": "606-237-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MALL ROAD",
            "address_2": "SUITE A",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034079",
            "telephone_number": "606-237-4551",
            "fax_number": "606-237-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "KY1198DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011989",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150046000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Najam Z Sheikh, M.D.
• Sheridan Radiology Services of Kentucky, Inc
• Nicholas Cody Smallwood, PHARMD.
• Bonnie Smith, LDLDMS
• Caitlyn Smith, APRN
• Julie Smith, OTR/L
• James Arlin Stanley, APRN
• Stay Well Chiropractic, Inc.
• Tackett-Holschuh Radiology, Inc
• Phillip Thacker, BA

• All providers in South Williamson, KY
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.