Blake Smith, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7101 TG Issued in TX

Legal business name

BLAKE SMITH, O.D., P.A.

Practice address

2481 I-40 W
Amarillo, TX 79109-1852

Phone

(806) 358-2205

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Blake E Smith, O.D.

Title

President

Phone

(806) 881-7576

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1720276140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196403",
            "telephone_number": "806-677-0175",
            "fax_number": "806-677-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091852",
            "telephone_number": "806-358-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE SMITH, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-881-7576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7101 TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney B Blackwell, RN, MSN, AGNP AANP-C
• Jon Darin Blackwell, DC
• Jourdan Brianna Blair, DO
• Major Elliott Blair Jr., MD
• Shelah Blair, PTA
• Christy Blake, NP
• Hannah Blake
• Jackie L Blankenship, AGACNP-BC
• Peggy Anne Blanscet, LCSW
• Sharla Blanton, M.S., CCC-SLP

• Optometrist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.