Individual provider Active NPI

Clayton A Smith, OD

  • Optometrist
  • Eastman, GA
National Provider Identifier
1700886058
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1213 Issued in GA
Practice address
820 Professional Center Dr
Eastman, GA 31023-6734
Phone
(478) 374-0762
NPI assigned
Jul 28, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1213 GA Primary

Addresses

Primary practice location

820 Professional Center Dr
Eastman, GA 31023-6734

Mailing address

PO Box 8747
Warner Robins, GA 31095-8747

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040219000012 GA Practitioner - Optometry 2163317660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Savers, IncGroup PAC ID 5294620787, 2 clinicians

Practice addresses (Care Compare)

105 Moseley Rd
Byron, GA 31008-7148
Phone (478) 956-0161

134 Martin Luther King Jr Dr
Suite D4
Forsyth, GA 31029-3385
Phone (478) 994-0994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1213GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Savers, Inc Optometrist CurrentSince Jan 1, 2003 Accepting new patients
Vision Savers, Inc Past Accepting new patients
Vision Savers, Inc Optometrist Past Accepting new patients

Locations

105 Moseley Rd
Byron, GA 31008
Phone (478) 956-0161

507 Academy Ave
Dublin, GA 31021
Phone (478) 272-8992

820 Professional Center Dr
Eastman, GA 31023
Phone (478) 374-0762

134 Martin Luther King Jr Dr
Ste 4
Forsyth, GA 31029
Phone (478) 374-0762

134 Martin Luther King Jr Dr
Ste D4
Forsyth, GA 31029
Phone (478) 994-0994

2203 Watson Blvd
Warner Robins, GA 31093
Phone (478) 328-3937

2203 Watson Blvd
Ste W
Warner Robins, GA 31093
Phone (478) 328-3937

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700886058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8747",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLAYTON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.