Individual provider Active NPI

James Kevin Smith, O.D.

  • Optometrist
  • Desoto, TX
National Provider Identifier
1710040571
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4711T Issued in TX
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

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
4711TXMDBehavioral Analyst
4711TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.