Monty D Smick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001263 Issued in WA

Practice address

205 W Indiana Ave
Spokane, WA 99205-4763

Phone

(509) 327-7753

Fax

(509) 328-6058

NPI assigned

Jun 5, 2006

Last updated

Aug 5, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Vision Arts Eyecare Center

  • Eyewear Supplier
  • Spokane, WA
  • NPI 1629337332
  Authorized official Same address or phone

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1720027956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054763",
            "telephone_number": "509-327-7753",
            "fax_number": "509-328-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054763",
            "telephone_number": "509-327-7753",
            "fax_number": "509-328-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMICK",
        "first_name": "MONTY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Tecumseh Smeltz, PSYD PSYCHOLOGIST
• Brandi Lynn Smeltzer, CRNA
• Craig M. Smentek, M.D.
• Avery Douglas Smetana
• Lori S Smetana, MD
• Smiles for Miles (Comfort Dental)
• Barbara A. Smit, M.D.
• Smith Family Dental
• Smith Pediatric Speech PLLC
• Tahlyke R Smith-Chenevert

• Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.