Individual provider Active NPI

S. Craig Smith, O.D.

  • Optometrist
  • Gainesville, TX
National Provider Identifier
1720356454
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4577T Issued in TX
Practice address
1800 Lawrence St
Suite 100 a
Gainesville, TX 76240-2200
Phone
(214) 893-2306
NPI assigned
Dec 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4577T TX Primary

Addresses

Primary practice location

1800 Lawrence St
Suite 100 a
Gainesville, TX 76240-2200

Mailing address

1800 Lawrence St
Suite 100 a
Gainesville, TX 76240-2200
Phone (214) 893-2306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260430001981 TX Practitioner - Optometry 4183191885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacob J Moore MD PAGroup PAC ID 8325196363, 6 clinicians

Practice addresses (Care Compare)

900 Morgan Ave
Corpus Christi, TX 78404-2028
Phone (361) 888-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4577TTXMDOptometrist

Organizations & group practices 1

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1720356454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LAWRENCE ST",
            "address_2": "SUITE 100 A",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402200",
            "telephone_number": "214-893-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LAWRENCE ST",
            "address_2": "SUITE 100 A",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402200",
            "telephone_number": "214-893-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "S. CRAIG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4577T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.