Active NPI
James Kevin Smith, O.D.
- Optometrist
- Desoto, TX
National Provider Identifier
1710040571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4711T
- Practice address
- 600 N Hampton Rd
Desoto, TX 75115-4508 - Phone
- (972) 223-5354
- Fax
- (972) 274-0607
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4711T | TX | Primary |
Addresses
Primary practice location
600 N Hampton Rd
Desoto, TX 75115-4508
Mailing address
600 N Hampton Rd
Desoto, TX 75115-4508
Phone (972) 223-5354
Other practice location 1
4919 S Hulen St
Fort Worth, TX 76132-1407
Phone (817) 370-2100
Other names 1
- Dr. James Kevin Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4711 | TX | MD | Behavioral Analyst |
| 4711T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Visioncare | Past | Accepting new patients | |
| Advanced Visioncare of Mansfield PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Exclusive Provider Organization
- Desoto, TX
- NPI 1851623615
-
- Optometrist
- Fort Worth, TX
- NPI 1447625975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1710040571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N HAMPTON RD",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154508",
"telephone_number": "972-223-5354",
"fax_number": "972-274-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HAMPTON RD",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154508",
"telephone_number": "972-223-5354",
"fax_number": "972-274-0607"
}
],
"practiceLocations": [
{
"address_1": "4919 S Hulen St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761321407",
"country_code": "US",
"telephone_number": "817-370-2100",
"fax_number": "817-370-2113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4711T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "SMITH",
"middle_name": "KEVIN",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.