Organization Active NPI

Scott Smith OD, PLLC

Doing business as Family Eye Care Center

  • Optometrist
  • Lawrenceburg, KY
National Provider Identifier
1740459213
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1390DT Issued in KY
Legal business name
SCOTT SMITH OD, PLLC
Doing business as
Family Eye Care Center
Practice address
500 W Broadway St
Lawrenceburg, KY 40342-1306
Phone
(502) 839-5113
Fax
(502) 839-9831
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Scott Smith, OD
Title
Owner
Phone
(502) 839-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1390DT KY Primary

Addresses

Primary practice location

500 W Broadway St
Lawrenceburg, KY 40342-1306

Mailing address

PO Box 168
Lawrenceburg, KY 40342-0168
Phone (502) 839-5113

Other identifiers 4

IdentifierTypeStateIssuer
45004413MedicaidKY
77013902MedicaidKY
000000217614OtherKYBLUE CROSS BLUE SHIELD
P00204906OtherKYRAIL ROAD MEDICARE

Other names 1

  • Family Eye Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

500 W Broadway St
Lawrenceburg, KY 40342
Phone (502) 343-9340

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1740459213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403420168",
            "telephone_number": "502-839-5113",
            "fax_number": "502-839-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421306",
            "telephone_number": "502-839-5113",
            "fax_number": "502-839-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SMITH OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-839-5113",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1390DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45004413",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013902",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000217614",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00204906",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.